I Am Boundless, Inc.

NPI #1063230175 in Worthington, Ohio

Provider Information

NPI Number
1063230175
Entity Type
Organization
Organization Name
I Am Boundless, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
I AM BOUNDLESS, INC.
Primary Specialty
Clinic/Center
Enumeration Date
Sep 27, 2024
Last Updated
Oct 16, 2024

Practice Location

Address
445 E DUBLIN GRANVILLE RD STE H
State
Ohio
ZIP Code
43085-3192
Phone
(614) 844-3800

Authorized Official

Name
LAURIE B HICKMAN
Title
CONTRACTING & CREDENTIALING MANAGER
Phone
(614) 844-3800

Specialties & Taxonomy Codes

Specialty
Family Medicine
Speech-Language Pathologist
Clinic/Center

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