# PHYSICAL MEDICINE CENTER OF VAN WERT INC

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

## Provider details

- **NPI number:** 1710149059
- **Authorized official:** DR. JOCELYN M WRAY MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (419) 586-5760

## Contact information

- **Practice address:** 123 HAMILTON ST, CELINA, OH 45822-1909
- **Practice address phone:** (419) 586-5760
- **Practice address fax:** (419) 586-7179
- **Mailing address:** 140 FOX RD, VAN WERT, OH 45891-2475
- **Mailing address phone:** (419) 586-5760
- **Mailing address fax:** (419) 586-7179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 35078836 | OH | Yes |

## Other

- **Enumeration date:** 06/27/2008
- **Last updated:** 02/25/2009