| |
220 Jackson St, Ste B, Elmore, OH 43416-9593 | |
(419) 862-2815 | |
(419) 862-2816 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 220 Jackson St, Elmore, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861718066 | NPI | - | NPPES |
23-2804807 | Other | RPN | |
0392980 | Medicaid | OH | |
05531A | Other | PARAMOUNT | |
1609899061 | Other | OH | CORPORATE NPI |
Mailing Address | Practice Location Address |
---|---|
1560 Henthorne Dr, Maumee, OH 43537-1371 Ph: (419) 866-5196 | 220 Jackson St, Ste B, Elmore, OH 43416-9593 Ph: (419) 862-2815 |