| NPI | 1134342710 |
|---|---|
| Doing Business As | GRANDVIEW AVENUE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | CARRIE LYNN KNICK Office Manager 614-488-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-09-05 |