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Organization
PROHAB PHYSICAL THERAPY EAST, LLC
Active
Organization
PROHAB PHYSICAL THERAPY EAST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS ENCHEFF (DIRECTOR OF PHYSICAL THERAPY)
(419) 698-2500
Entity
Organization
Contact information
Practice address
4725 WOODVILLE RD, STE 4, NORTHWOOD, OH 43619-1857
(419) 698-2500
Mailing address
4725 WOODVILLE RD, STE 4, NORTHWOOD, OH 43619-1857
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2616771
—
OH
Enumeration date
05/24/2005
Last updated
03/13/2008
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