Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT017402 | OH |
NPI | 1023591518 |
---|---|
Provider Name | Dakota Billings |
First Address | Canal Winchester, OH 43110-9721 |
Second Address | Canal Winchester, OH 43110-9721 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2018 |
Last Update Date | 17/08/2021 |