Healthcare Provider Details

I. General information

NPI: 1104220680
Provider Name (Legal Business Name): THINK REHAB OUTPATIENT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2014
Last Update Date: 03/12/2024
Certification Date: 03/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 VILLAGE MALL DR STE 600
ONTARIO OH
44906-4025
US

IV. Provider business mailing address

2230 VILLAGE MALL DR STE 600
ONTARIO OH
44906-4025
US

V. Phone/Fax

Practice location:
  • Phone: 419-524-4700
  • Fax: 419-386-0942
Mailing address:
  • Phone: 419-524-4700
  • 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

VIII. Authorized Official

Name: MICHAEL MAZAK
Title or Position: OWNER
Credential: OT
Phone: 419-961-6865