Healthcare Provider Details

I. General information

NPI: 1386837268
Provider Name (Legal Business Name): PENN OHIO REHABILITATION, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2007
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 N ERIE ST STE 1
MERCER PA
16137-1285
US

IV. Provider business mailing address

139 N ERIE ST STE 1
MERCER PA
16137-1285
US

V. Phone/Fax

Practice location:
  • Phone: 724-972-7920
  • Fax: 724-962-6029
Mailing address:
  • Phone: 724-972-7920
  • Fax: 724-962-6029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: REBECCA LYNN VANNOY
Title or Position: PRACTICE MANAGER
Credential:
Phone: 724-662-1776