MEDICARE: REHAB EDUCATORS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XG0600X	Gerontology Occupational Therapist	3324	OH
2	225XL0004X	Low Vision Occupational Therapist	3324	OH
3	225XM0800X	Mental Health Occupational Therapist	3324	OH
4	225XN1300X	Neurorehabilitation Occupational Therapist	3324	OH
5	225XP0200X	Pediatric Occupational Therapist	3324	OH
6	225XR0403X	Driving and Community Mobility Occupational Therapist	3324	OH
7	225X00000X	Occupational Therapist	3324	OH

General Provider Information

NPI Number	:	1245585603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHAB EDUCATORS, LLC

Provider Business Mailing Address
First Line	:	50 BAKER BLVD
Second Line	:	SUITE 4
City	:	FAIRLAWN
State	:	OH
Zip	:	44333-3674
Country	:	US
Telephone Number	:	330-801-4308
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 BAKER BLVD
Second Line	:	SUITE 4
City	:	FAIRLAWN
State	:	OH
Zip	:	44333-3674
Country	:	US
Telephone Number	:	330-801-4308
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MARY JOHANNA MCGUIRE
Credential	:	MS, OTR/L
Telephone Number	:	330-620-3502

Provider Enumeration Date	:	07/20/2012
Last Update Date	:	07/20/2012

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Directions to “REHAB EDUCATORS, LLC ” Practice Location

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