# PHYSICAL MEDICINE CENTER OF VAN WERT, INC.

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

## Provider details

- **NPI number:** 1063494250
- **Authorized official:** JOCELYN WRAY M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (419) 232-6333

## Contact information

- **Practice address:** 140 FOX RD, SUITE 303, VAN WERT, OH 45891-2496
- **Practice address phone:** (419) 232-6333
- **Practice address fax:** (419) 232-6444
- **Mailing address:** 140 FOX RD, SUITE 303, VAN WERT, OH 45891-2496
- **Mailing address phone:** (419) 232-6333
- **Mailing address fax:** (419) 232-6444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 35-078836 | OH | Yes |

## Other

- **Enumeration date:** 11/15/2005
- **Last updated:** 12/13/2010