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NPI Code Detail

MEDICARE: DRAYER PHYSICAL THERAPY LLC

MEDICARE: DRAYER PHYSICAL THERAPY LLC
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 Therapist

General Provider Information

NPI Number : 1992134886
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRAYER PHYSICAL THERAPY LLC
Provider Business Mailing Address
First Line : 6006 MAHONING AVE
Second Line : SUITE G
City : AUSTINTOWN
State : OH
Zip : 44515-2239
Country : US
Telephone Number : 330-755-3000
Fax Number : 330-599-7008
Provider Business Practice Location Address
First Line : 6006 MAHONING AVE
Second Line : SUITE G
City : AUSTINTOWN
State : OH
Zip : 44515-2239
Country : US
Telephone Number : 330-755-3000
Fax Number : 330-599-7008
Authorized Official
Title or Position : CHAIRMAN & CEO
Name : LUKE A DRAYER
Credential :
Telephone Number : 717-220-2100
Provider Enumeration Date : 11/01/2013
Last Update Date : 11/04/2013

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Directions to “DRAYER PHYSICAL THERAPY LLC ” Practice Location

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