# FAIRWOOD CHIROPRACTIC & PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003112863
- **Authorized official:** DR. HYTHEM H RAHMAN D.C. (CHIROPRACTOR / OWNER)
- **Authorized official phone:** (419) 843-1515

## Contact information

- **Practice address:** 5215 MONROE ST, SUITE 4, TOLEDO, OH 43623-3190
- **Practice address phone:** (419) 843-1515
- **Practice address fax:** (419) 715-9554
- **Mailing address:** 5215 MONROE ST, SUITE 4, TOLEDO, OH 43623-3190
- **Mailing address phone:** (419) 843-1515
- **Mailing address fax:** (419) 715-9554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3501 | OH | Yes |
| 225100000X | Physical Therapist | PT005336 | OH | — |

## Other

- **Enumeration date:** 01/26/2011
- **Last updated:** 01/26/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2487401 | — | OH |
| 05 | — | 3097474 | — | OH |