# SHAKER BOULEVARD REHAB GROUP LLC

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

## Provider details

- **NPI number:** 1386052405
- **Authorized official:** DREW SCHWARTZ (OWNER)
- **Authorized official phone:** (216) 791-4307

## Contact information

- **Practice address:** 11811 SHAKER BLVD STE 309, CLEVELAND, OH 44120-1927
- **Practice address phone:** (216) 791-4307
- **Practice address fax:** (216) 791-4338
- **Mailing address:** 11811 SHAKER BLVD STE 309, CLEVELAND, OH 44120-1927

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 08/01/2014
- **Last updated:** 08/01/2014