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Organization
CORA HEALTH SERVICES INC
Active
Organization
CORA HEALTH SERVICES INC
Active
Other names
CORA Physical Therapy - Palmer Ranch
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD C ROUSH (EXECUTIVE VICE PRESIDENT)
(419) 221-6712
Entity
Organization
Contact information
Practice address
8615 S TAMIAMI TRL, SARASOTA, FL 34238-3052
(941) 960-4741
(941) 360-8525
Mailing address
1110 SHAWNEE RD, LIMA, OH 45805-3529
(419) 221-6720
(419) 222-0507
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
686930
MEDICARE OSCAR
FL
Enumeration date
07/03/2017
Last updated
09/03/2019
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