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Organization
GREAT EAST REHABILITATION LLC
Active
Organization
GREAT EAST REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA R MULICHAK (CONTRACT COORDINATOR)
(330) 652-2287
Entity
Organization
Contact information
Practice address
2103 NILES CORTLAND RD SE, WARREN, OH 44484-3067
(330) 652-2287
(330) 544-3904
Mailing address
2103 NILES CORTLAND RD SE, WARREN, OH 44484-3067
(330) 652-2287
(330) 544-3904
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT004636
OH
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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