Healthcare Provider Details

I. General information

NPI: 1982243549
Provider Name (Legal Business Name): A.N. REHAB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2019
Last Update Date: 12/31/2019
Certification Date: 12/31/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7261 ENGLE RD STE 200
MIDDLEBURG HEIGHTS OH
44130-3479
US

IV. Provider business mailing address

7261 ENGLE RD STE 200
MIDDLEBURG HEIGHTS OH
44130-3479
US

V. Phone/Fax

Practice location:
  • Phone: 216-772-1105
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE BOX
Title or Position: MANAGER
Credential:
Phone: 216-577-8532