Healthcare Provider Details

I. General information

NPI: 1356525919
Provider Name (Legal Business Name): OHIO PHYSICAL MEDICINE & REHABILITATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2007
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2405 N COLUMBUS ST SUITE 210
LANCASTER OH
43130-8185
US

IV. Provider business mailing address

2405 N COLUMBUS ST SUITE 210
LANCASTER OH
43130-8185
US

V. Phone/Fax

Practice location:
  • Phone: 740-681-9905
  • Fax: 740-681-9726
Mailing address:
  • Phone: 740-681-9905
  • Fax: 740-681-9726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JON H PEARLMAN
Title or Position: PRESIDENT/CEO
Credential: M.D.
Phone: 740-681-9905