Organization · NPI-2
3 Phase Endurance Training LLC
Occupational Therapist · Cecil, OH
NPI number1679381248
StatusActive
Last updated in NPPESDec 27, 2024
Details
- NPI
- 1679381248
- Entity type
- Organization (NPI-2)
- Legal business name
- 3 Phase Endurance Training LLC
- Organization subpart
- No
- Enumeration date
- Dec 27, 2024
- Certification date
- Dec 27, 2024
- Last updated
- Dec 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | |
| 225XP0019X | Occupational Therapist, Physical Rehabilitation | – | – |
Other names
- 3 Phase Health Wellness And Rehabilitation (Doing Business As)
Practice location
11154 Road 230Cecil, OH 45821-9309
Phone 419-438-5026
Mailing address
11154 Road 230Cecil, OH 45821-9309
Phone 419-438-5026
Authorized official
Seth Bidlack
Owner
4194385026
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