Big Blue Canopy LLC

NPI #1548820772 in Blue Ash, Ohio

Provider Information

NPI Number: 1548820772
Entity Type: Organization
Organization Name: Big Blue Canopy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jun 19, 2019
Last Updated: Jun 16, 2020

Practice Location

Address: 11230 CORNELL PARK DR
City: Blue Ash
State: Ohio
ZIP Code: 45242-1825
Phone: (513) 880-6800

Authorized Official

Name: PUJA GAITONDE, PT
Title: OWNER
Phone: (513) 880-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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