Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 017390 | OH |
N | 2251S0007X | Physical Therapist - Sports | 017390 | OH |
N | 2251X0800X | Physical Therapist - Orthopedic | 017390 | OH |
NPI | 1194217323 |
---|---|
Provider Name | Joseph Robert Combs |
First Address | West Chester, OH 45069-6549 |
Second Address | West Chester, OH 45069-2442 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2018 |
Last Update Date | 04/06/2018 |