Provider Demographics
NPI:1619196995
Name:OSU MEDICAL CENTER
Entity Type:Organization
Organization Name:OSU MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:STAFF PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NEELIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOOL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:614-293-7600
Mailing Address - Street 1:551 YMCA PL
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6851
Mailing Address - Country:US
Mailing Address - Phone:614-593-7600
Mailing Address - Fax:614-293-7540
Practice Address - Street 1:551 YMCA PL
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6851
Practice Address - Country:US
Practice Address - Phone:614-593-7600
Practice Address - Fax:614-293-7540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH10714283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital