Provider First Line Business Practice Location Address:
OHIO UNIVERSITY THERAPY ASSOCIATES
Provider Second Line Business Practice Location Address:
GROVER CENTER W-290
Provider Business Practice Location Address City Name:
ATHENS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45701-2979
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-593-0820
Provider Business Practice Location Address Fax Number:
740-593-0292
Provider Enumeration Date:
06/27/2007