| Mr John Gregory Demarco Jr, PT | |
|
5854 Fryer Ave, Toledo, OH 43615-4504 | |
| (419) 578-9626 | |
| Not Available |
| Full Name | Mr John Gregory Demarco Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 5854 Fryer Ave, Toledo, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033342142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT. 011936 (Ohio) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174153266 PECOS PAC ID: 2163339722 Enrollment ID: O20200304001327 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Gregory Demarco Jr, PT 5854 Fryer Ave, Toledo, OH 43615-4504 Ph: (419) 578-9626 | Mr John Gregory Demarco Jr, PT 5854 Fryer Ave, Toledo, OH 43615-4504 Ph: (419) 578-9626 |
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