# PHYSICAL MEDICINE CENTER OF ST ELIZABETH

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

## Provider details

- **NPI number:** 1407472004
- **Authorized official:** FUAD AMER DC (OWNER)
- **Authorized official phone:** (513) 213-0919

## Contact information

- **Practice address:** 1 ELIZABETH PL STE 1100B, DAYTON, OH 45417-3445
- **Practice address phone:** (937) 813-7666
- **Practice address fax:** (937) 813-7667
- **Mailing address:** 1 ELIZABETH PL STE 1100B, DAYTON, OH 45417-3445
- **Mailing address phone:** (937) 813-7666
- **Mailing address fax:** (937) 813-7667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/19/2020
- **Last updated:** 06/19/2020