# EXECUTIVE REHAB SERVICES

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

## Provider details

- **NPI number:** 1043569353
- **Authorized official:** MRS. JANE ANN SNOW (SPEECH, LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (740) 344-9199

## Contact information

- **Practice address:** 1945 TAMARACK RD, NEWARK, OH 43055-1300
- **Practice address phone:** (740) 349-9777
- **Mailing address:** 1945 TAMARACK RD, NEWARK, OH 43055-1300
- **Mailing address phone:** (740) 349-9777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | SP 6673 | OH | Yes |

## Other

- **Enumeration date:** 08/31/2012
- **Last updated:** 08/31/2012