Provider Demographics
NPI:1386950111
Name:CHIROPRACTIC AND PHYSICAL THERAPY CENTERS OF OHIO- NORTH LLC
Entity type:Organization
Organization Name:CHIROPRACTIC AND PHYSICAL THERAPY CENTERS OF OHIO- NORTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:TALLEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-277-1248
Mailing Address - Street 1:2218 STRINGTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-2929
Mailing Address - Country:US
Mailing Address - Phone:614-471-3500
Mailing Address - Fax:614-471-4504
Practice Address - Street 1:4410 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-5803
Practice Address - Country:US
Practice Address - Phone:614-471-3500
Practice Address - Fax:614-471-4504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-31
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty