| |
113 N Main St, North Baltimore, OH 45872-1124 | |
(419) 257-9070 | |
(419) 257-0501 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 113 N Main St, North Baltimore, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104041060 | NPI | - | NPPES |
05531A | Other | OH | PARAMOUNT |
23-2804807 | Other | RPN | |
0392980 | Medicaid | OH | |
1609899061 | Other | OH | CORP NPI NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
1560 Henthorne Dr, Maumee, OH 43537-1371 Ph: (419) 866-5275 | 113 N Main St, North Baltimore, OH 45872-1124 Ph: (419) 257-9070 |
Karen U Flanagan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 N Main St, North Baltimore, OH 45872 Phone: 419-257-9070 Fax: 419-257-0501 |