| |
35 N Cleveland Ave, Ste C, Mogadore, OH 44260-1365 | |
(330) 628-0736 | |
(330) 628-0739 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 35 N Cleveland Ave, Mogadore, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790820355 | NPI | - | NPPES |
2955306 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Ohio) | Primary |
Mailing Address | Practice Location Address |
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771 N Freedom St, Ravenna, OH 44266-2470 Ph: (330) 297-9020 | 35 N Cleveland Ave, Ste C, Mogadore, OH 44260-1365 Ph: (330) 628-0736 |