Functional Physical Medicine Associates Llc

NPI 1750629515 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1750629515
Enumeration Date 01/29/2013
Last Updated 01/29/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CASANDRA ROSE CASANDRA
Position OFFICE MANAGER/CREDENTIALING CONTAC
Phone (330) 479-9645
Fax (888) 892-8335
Practice Location
4418 22ND ST NW
CANTON OH, 44708-1574, US
Phone (330) 479-9645
Fax (888) 892-8335
Business Location
4418 22ND ST NW
CANTON OH, 44708-1574, US
Phone (330) 479-9645
Fax (888) 892-8335
Toxanomy
Taxonomy Code 208100000X
License State
License Number
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According to our database, Functional Physical Medicine Associates Llc NPI is 1750629515, taxonomy code is 208100000X Functional Physical Medicine Associates Llc physically located at 4418 22nd St Nw, Canton OH, 44708-1574. NPI Number 1033115704 has the healthcare provider type.

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1750629515 NPI number is provided on an as is basis without warranty of any kind. 1750629515 is maintained by the National Plan & Provider Enumeration System. The contents of Functional Physical Medicine Associates Llc are for informational purposes only.