# PHYSICIANS DIAGNOSTIC & REHABILITATION CENTER OF WARREN IN

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

## Provider details

- **NPI number:** 1700987229
- **Authorized official:** DR. KEITH P FARRELL D.C. (OWNER)
- **Authorized official phone:** (330) 372-5550

## Contact information

- **Practice address:** 2048 N RIVER RD NE \# 3, WARREN, OH 44483-2530
- **Practice address phone:** (330) 372-5550
- **Practice address fax:** (330) 372-5551
- **Mailing address:** PO BOX 14465, POLAND, OH 44514-7465
- **Mailing address phone:** (330) 372-5550
- **Mailing address fax:** (330) 372-5551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0200X | Radiology Chiropractor | 3569 | OH | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 34.002093 | OH | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 11/19/2012