# OHIO PAIN AND REHABILITATION CENTER, LLC

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

## Provider details

- **NPI number:** 1518272608
- **Authorized official:** DR. JOHN ANTHONY KOSTOGLOU DC (OWNER)
- **Authorized official phone:** (330) 702-1677

## Contact information

- **Practice address:** 6479 S RACCOON RD, CANFIELD, OH 44406-9270
- **Practice address phone:** (330) 702-1677
- **Practice address fax:** (330) 702-1679
- **Mailing address:** 6479 S RACCOON RD, CANFIELD, OH 44406-9270
- **Mailing address phone:** (330) 702-1677
- **Mailing address fax:** (330) 702-1679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC1473 | OH | Yes |

## Other

- **Enumeration date:** 08/12/2010
- **Last updated:** 08/12/2010