Healthcare Provider Details

I. General information

NPI: 1124832340
Provider Name (Legal Business Name): BRENNA NICOLE RIMER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2025
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 WINDSOR DR
CORTLAND OH
44410-2703
US

IV. Provider business mailing address

230 WINDSOR DR
CORTLAND OH
44410-2703
US

V. Phone/Fax

Practice location:
  • Phone: 330-637-6000
  • Fax: 330-637-6002
Mailing address:
  • Phone: 330-637-6000
  • Fax: 330-637-6002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number021533
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: