Hometown Therapy Group LLC

NPI #1770094856 in Ada, Ohio

Provider Information

NPI Number: 1770094856
Entity Type: Organization
Organization Name: Hometown Therapy Group LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 17, 2017
Last Updated: Mar 17, 2018

Practice Location

Address: 1200 S MAIN ST
City: Ada
State: Ohio
ZIP Code: 45810-2616
Phone: (567) 221-1021

Authorized Official

Name: CHRISTOPHER FORTMAN, MPT
Title: OWNER
Phone: (419) 615-9730

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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