# CORA HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CORA Physical Therapy - Palmer Ranch
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427579291
- **Authorized official:** MR. BRAD C ROUSH (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (419) 221-6712

## Contact information

- **Practice address:** 8615 S TAMIAMI TRL, SARASOTA, FL 34238-3052
- **Practice address phone:** (941) 960-4741
- **Practice address fax:** (941) 360-8525
- **Mailing address:** 1110 SHAWNEE RD, LIMA, OH 45805-3529
- **Mailing address phone:** (419) 221-6720
- **Mailing address fax:** (419) 222-0507

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/03/2017
- **Last updated:** 09/03/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 686930 | MEDICARE OSCAR | FL |
