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NPI Code Detail

MEDICARE: BROOK PARK FUNCTIONAL REHAB

MEDICARE: BROOK PARK FUNCTIONAL REHAB
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
1261QP2000XPhysical Therapy Clinic/Center
2111N00000XChiropractor

General Provider Information

NPI Number : 1922715192
Entity Type Code : Organization
Provider Name (Legal Business Name) : BROOK PARK FUNCTIONAL REHAB
Provider Business Mailing Address
First Line : PO BOX 64
Second Line :
City : RICHFIELD
State : OH
Zip : 44286-0064
Country : US
Telephone Number : 216-343-9878
Fax Number :
Provider Business Practice Location Address
First Line : 5260 SMITH RD
Second Line :
City : BROOKPARK
State : OH
Zip : 44142-1747
Country : US
Telephone Number : 216-284-3077
Fax Number : 216-586-6780
Authorized Official
Title or Position : OWNER
Name : DR. ALEXIS FRANTZIS
Credential : DC
Telephone Number : 216-343-9878
Provider Enumeration Date : 10/27/2022
Last Update Date : 10/27/2022

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Directions to “BROOK PARK FUNCTIONAL REHAB ” Practice Location

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