Healthcare Provider Details

I. General information

NPI: 1679577365
Provider Name (Legal Business Name): REHABILITATION ELECTRODIAGNOSTIC MEDICINE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 02/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 PFEIFFER RD 3RD FLOOR
CINCINNATI OH
45242-5862
US

IV. Provider business mailing address

PO BOX 42461
CINCINNATI OH
45242-0461
US

V. Phone/Fax

Practice location:
  • Phone: 513-985-6793
  • Fax: 513-965-8091
Mailing address:
  • Phone: 513-965-8041
  • Fax: 513-965-8091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM WALSH
Title or Position: PRESIDENT
Credential: MD
Phone: 513-985-6793