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Organization
MOHICAN THERAPY GROUP
Active
Organization
MOHICAN THERAPY GROUP
Active
Other names
Mohican Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN STALLARD (OPERATIONS MANAGER)
(740) 392-8811
Entity
Organization
Contact information
Practice address
1265 LEXINGTON AVE, MANSFIELD, OH 44907-2613
(419) 525-4200
Mailing address
112 HARCOURT RD, SUITE 1, MOUNT VERNON, OH 43050-3946
(740) 392-8811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/18/2008
Last updated
10/06/2009
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