Provider Demographics
NPI:1548913056
Name:OHIO INTEGRATIVE PHYSICAL THERAPY & WELLNESS
Entity type:Organization
Organization Name:OHIO INTEGRATIVE PHYSICAL THERAPY & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOCHHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:440-213-5919
Mailing Address - Street 1:100 CHARLES AVE
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:OH
Mailing Address - Zip Code:44001-2076
Mailing Address - Country:US
Mailing Address - Phone:440-213-5919
Mailing Address - Fax:
Practice Address - Street 1:100 CHARLES AVE
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:OH
Practice Address - Zip Code:44001-2076
Practice Address - Country:US
Practice Address - Phone:440-213-5919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty