Healthserve Medical Group LLC

NPI #1962806570 in Gahanna, Ohio

Provider Information

NPI Number: 1962806570
Entity Type: Organization
Organization Name: Healthserve Medical Group LLC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 13, 2014
Last Updated: Oct 13, 2014

Practice Location

Address: 445 ROCKY FORK BLVD STE A
City: Gahanna
State: Ohio
ZIP Code: 43230-3336
Phone: (614) 442-2431

Authorized Official

Name: MICHAEL C BOURLAND
Title: PRESIDENT
Phone: (614) 442-2431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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