Provider Demographics
NPI:1740517382
Name:GAHANNA PHYSICAL THERAPY LIMITED PARTNERSHIP
Entity type:Organization
Organization Name:GAHANNA PHYSICAL THERAPY LIMITED PARTNERSHIP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP, AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CORRIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:713-297-7000
Mailing Address - Street 1:11945 LITHOPOLIS RD NW
Mailing Address - Street 2:NW RT #2
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-9585
Mailing Address - Country:US
Mailing Address - Phone:614-837-4381
Mailing Address - Fax:614-833-4266
Practice Address - Street 1:11945 LITHOPOLIS RD NW
Practice Address - Street 2:NW RT #2
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-9585
Practice Address - Country:US
Practice Address - Phone:614-837-4381
Practice Address - Fax:614-833-4266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-03
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty