MEDICARE: MRS. ERICA M RHODES P.T.

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
1	2251X0800X	Orthopedic Physical Therapist	PT010818	OH

General Provider Information

NPI Number	:	1669689246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERICA M RHODES P.T.

Provider Business Mailing Address
First Line	:	18674 WHITNEY RD
Second Line	:
City	:	STRONGSVILLE
State	:	OH
Zip	:	44149-1413
Country	:	US
Telephone Number	:	440-230-1133
Fax Number	:	440-230-9243

Provider Business Practice Location Address
First Line	:	1 INFINITY CORPORATE CENTRE DR
Second Line	:	SUITE 160
City	:	GARFIELD HTS
State	:	OH
Zip	:	44125-5369
Country	:	US
Telephone Number	:	440-230-1133
Fax Number	:	440-230-9243

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	04/09/2013

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