Provider First Line Business Practice Location Address:
W 290 GROVER CENTER OHIO UNIVERSITY
Provider Second Line Business Practice Location Address:
OHIO UNIVERSITY THERAPY ASSOCIATES
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:
740-592-9274
Provider Enumeration Date:
02/13/2007