Organization · NPI-2
Innovation Therapy LLC
Occupational Therapist · Blacklick, OH
NPI number1144095761
StatusActive
Last updated in NPPESNov 24, 2023
Details
- NPI
- 1144095761
- Entity type
- Organization (NPI-2)
- Legal business name
- Innovation Therapy LLC
- Organization subpart
- No
- Enumeration date
- Nov 24, 2023
- Certification date
- Nov 24, 2023
- Last updated
- Nov 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
| 224Z00000X | Occupational Therapy Assistant | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 225200000X | Physical Therapy Assistant | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
2983 Creekwood Estates DrBlacklick, OH 43004-8058
Phone 614-805-8938
Mailing address
2983 Creekwood Estates DrBlacklick, OH 43004-8058
Phone 614-805-8938
Authorized official
Carolyn Renea Block
Owner
6148058938
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