| Functional At Home Llc | |
|
1402 Summersweet Cir, Lewis Center, OH 43035-7200 | |
| (419) 957-0561 | |
| Not Available |
| Full Name | Functional At Home Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1402 Summersweet Cir, Lewis Center, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639945298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Adam John Snyder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326353178 PECOS PAC ID: 2365634755 Enrollment ID: I20160509002326 |
| Mailing Address | Practice Location Address |
|---|---|
| Functional At Home Llc 1402 Summersweet Cir, Lewis Center, OH 43035-7200 Ph: (419) 957-0561 | Functional At Home Llc 1402 Summersweet Cir, Lewis Center, OH 43035-7200 Ph: (419) 957-0561 |
Abigail Tidball, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 814 Shanahan Rd Ste 100, Lewis Center, OH 43035 Phone: 937-206-2090 | |
Joseph Marulli Iii, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6515 Pullman Dr, Lewis Center, OH 43035 Phone: 614-688-7140 | |
Jennifer Nicole Van Zandbergen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7840 Graphics Way, Lewis Center, OH 43035 Phone: 740-657-4050 | |
Dr. Miriam Hazlett, PT, DPT, MBA Physical Therapist Medicare: Medicare Enrolled Practice Location: 1270 E Powell Rd, Lewis Center, OH 43035 Phone: 614-981-2065 | |
Ravin Pravinkumar Shah, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 320 Brets Ln, Lewis Center, OH 43035 Phone: 734-299-0816 | |
Megan Michelle Pack, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1270 E Powell Rd, Lewis Center, OH 43035 Phone: 614-981-2065 | |
Casey Gould, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1315 Cameron Ave, Lewis Center, OH 43035 Phone: 614-505-3085 Fax: 614-505-3280 |