Organization
ADVANCE SPORTS THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER CERVENKA D.P.T. (OWNER/PHYSICAL THERAPIST)
(614) 600-2252
Entity
Organization
Contact information
Practice address
1200 STEELWOOD RD STE B, COLUMBUS, OH 43212-1371
(614) 600-2252
Mailing address
2476 POWELL AVE, COLUMBUS, OH 43209-1749
(614) 600-2252
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
013936
OH
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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