Provider Demographics
NPI:1578388237
Name:JUNIPER OBSTETRIC PHYSICAL THERAPY AND WELLNESS
Entity type:Organization
Organization Name:JUNIPER OBSTETRIC PHYSICAL THERAPY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SADLER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:567-202-0077
Mailing Address - Street 1:342 KELLS CT W
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-4045
Mailing Address - Country:US
Mailing Address - Phone:567-202-0077
Mailing Address - Fax:
Practice Address - Street 1:342 KELLS CT W
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-4045
Practice Address - Country:US
Practice Address - Phone:567-202-0077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy