NPI | 1275127656 |
---|---|
Doing Business As | BIG WALNUT FAMILY PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | TIMOTHY PAUL BLECKE Owner 614-379-1120 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2021-02-25 |
Last Update Date | 2023-10-04 |