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Contact Information

SMR BANYAN TREE, INC.
5130 BRADENTON AVE
SUITE B
DUBLIN, OH43017-7068
 Phone: 614-336-8733
 Fax: 614-336-0658
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Rehabilitation

261QR0400X B4[14] Rehabilitation Agency
Indicates primary specialty

NPI Profile & details for SMR BANYAN TREE INC · (Female)

NPI # 1164458329
Status Active
Credentials
Entity Individual
Enumeration date 06/22/2006
Last updated 11/21/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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