Organization
ATHENA THERAPY HOLDING CO
Active
Other names
Athena Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA BRADFORD (PRESIDENT)
(330) 410-3982
Entity
Organization
Contact information
Practice address
260 NILES CORTLAND RD NE, WARREN, OH 44484-1938
(330) 609-5791
Mailing address
4293 COLUMBIA RD, MEDINA, OH 44256-7707
(330) 410-3982
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009793
OH
225X00000X
Occupational Therapist
OT4846
OH
235Z00000X
Speech-Language Pathologist
SP8620
OH
Other
Enumeration date
08/28/2015
Last updated
02/13/2019
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