Healthcare Provider Details

I. General information

NPI: 1013018753
Provider Name (Legal Business Name): CINCINNATI REHABILITATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 02/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10198 SPRINGFIELD PIKE
CINCINNATI OH
45215-1448
US

IV. Provider business mailing address

10198 SPRINGFIELD PIKE
CINCINNATI OH
45215-1448
US

V. Phone/Fax

Practice location:
  • Phone: 513-772-9065
  • Fax: 513-772-2961
Mailing address:
  • Phone: 513-772-9065
  • Fax: 513-772-2961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NI0900X
TaxonomyInternist Chiropractor
License Number1112
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number1112
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License Number1112
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number1112
License Number StateOH
# 5
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number1112
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number1112
License Number StateOH

VIII. Authorized Official

Name: DR. PATRICIA E BENDER
Title or Position: OWNER
Credential: R.N.,D.C.
Phone: 513-772-9065