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Organization
MIDWEST REHAB INC
Active
Organization
MIDWEST REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN P ZUBER (PRESIDENT)
(419) 634-8655
Entity
Organization
Contact information
Practice address
118 E HIGHLAND AVE, ADA, OH 45810-1120
(419) 634-8655
(419) 634-0402
Mailing address
118 E HIGHLAND AVE, ADA, OH 45810-1120
(419) 634-8655
(419) 634-0402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
0947239
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2187315
—
OH
Enumeration date
04/09/2007
Last updated
09/17/2020
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