Provider Demographics
NPI:1649378845
Name:MARION PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:MARION PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHADHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-375-0901
Mailing Address - Street 1:1199 DELAWARE AVE
Mailing Address - Street 2:SUITE 109
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-6475
Mailing Address - Country:US
Mailing Address - Phone:740-375-0200
Mailing Address - Fax:740-375-0040
Practice Address - Street 1:1199 DELAWARE AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6475
Practice Address - Country:US
Practice Address - Phone:740-375-0200
Practice Address - Fax:740-375-0040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy