Provider Demographics
NPI:1366673709
Name:ONSITE THERAPY RESOURCES LLC
Entity Type:Organization
Organization Name:ONSITE THERAPY RESOURCES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:WENDELL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:614-890-3676
Mailing Address - Street 1:PO BOX 144
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43086-0144
Mailing Address - Country:US
Mailing Address - Phone:614-890-3676
Mailing Address - Fax:614-890-2952
Practice Address - Street 1:839 FORTUNEGATE DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-3521
Practice Address - Country:US
Practice Address - Phone:614-890-3676
Practice Address - Fax:614-890-2953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH006227225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty