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NPI Code Detail

MEDICARE: SELECT PHYSICAL THERAPY OF LORAIN LIMITED PARTNERSHIP

MEDICARE: SELECT PHYSICAL THERAPY OF LORAIN LIMITED PARTNERSHIP
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
1261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1962463661
Entity Type Code : Organization
Provider Name (Legal Business Name) : SELECT PHYSICAL THERAPY OF LORAIN LIMITED PARTNERSHIP
Provider Business Mailing Address
First Line : 1909 N RIDGE RD E
Second Line : UNIT 3
City : LORAIN
State : OH
Zip : 44055-3379
Country : US
Telephone Number : 440-277-9101
Fax Number :
Provider Business Practice Location Address
First Line : 1909 N RIDGE RD E
Second Line : UNIT 3
City : LORAIN
State : OH
Zip : 44055-3379
Country : US
Telephone Number : 440-277-9101
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : MICHAEL TARVIN
Credential :
Telephone Number : 717-975-4503
Provider Enumeration Date : 03/31/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

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Practice Location Address:
1909 N RIDGE RD E , STE 3
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44055-3379
Practice Phone: 440-277-9101
Practice Fax:
1023150885 — EASTER SEAL SOCIETY OF NORTHWESTERN OHIO INC.
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1487781845 — MRS. MINDY S. YOUNG MA, CCC-SLP
Practice Location Address:
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LORAIN, OH
44055-3379
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Practice Fax: 440-277-7339
1649307059 — MRS. KARLA GAY BORCHERT LINCENSED SLP
Practice Location Address:
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LORAIN, OH
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1629104054 — MRS. GLORIA J. MANTINI LICENSED SLP
Practice Location Address:
1909 N RIDGE RD E
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1780711168 — MRS. JANET R. DOAK LICENSED SLP
Practice Location Address:
1909 N RIDGE RD E STE 6
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44055-3379
Practice Phone: 440-277-7337
Practice Fax: 440-277-7339

Directions to “SELECT PHYSICAL THERAPY OF LORAIN LIMITED PARTNERSHIP ” Practice Location

Language Start Address Practice Location
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