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Organization
SUMMIT REHABILITATION MEDICINE, INC.
Active
Organization
SUMMIT REHABILITATION MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNARD FORD MD (PRESIDENT)
(234) 678-9332
Entity
Organization
Contact information
Practice address
4389 MEDINA RD, COPLEY, OH 44321-1388
(234) 678-9332
Mailing address
PO BOX 14807, COPLEY, OH 44321-4807
(234) 678-9332
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/07/2006
Last updated
10/21/2020
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