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NPI Code Detail

MEDICARE: EDWARD A WASNER PT

MEDICARE: EDWARD A WASNER PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT. 007681OH

General Provider Information

NPI Number : 1255777223
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD A WASNER PT
Provider Business Mailing Address
First Line : 9360 CORNING AVE
Second Line :
City : MENTOR
State : OH
Zip : 44060-7308
Country : US
Telephone Number : 440-669-9170
Fax Number :
Provider Business Practice Location Address
First Line : 8655 MARKET ST
Second Line :
City : MENTOR
State : OH
Zip : 44060-4112
Country : US
Telephone Number : 440-352-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2013
Last Update Date : 03/20/2026

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Directions to “ EDWARD A WASNER PT” Practice Location

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