| |
2103 Niles Cortland Rd, Warren, OH 44484 | |
(330) 544-3737 | |
(330) 544-3904 |
Full Name | |
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Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 2103 Niles Cortland Rd, Warren, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104904663 | NPI | - | NPPES |
2365202 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6881 (Ohio) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | 6881 (Ohio) | Primary |
Mailing Address | Practice Location Address |
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2103 Niles Cortland Rd, Warren, OH 44484 Ph: (330) 544-3737 | 2103 Niles Cortland Rd, Warren, OH 44484 Ph: (330) 544-3737 |