Organization
PRECISION PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONYA LUCENTE (OFFICE MANAGER)
(330) 609-5533
Entity
Organization
Contact information
Practice address
8323 E MARKET ST, WARREN, OH 44484-2342
(330) 609-5533
(330) 609-5553
Mailing address
8323 E MARKET ST, WARREN, OH 44484-2342
(330) 609-5533
(330) 609-5553
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
PT 08632
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052112
—
OH
01
—
H012190
MEDICARE PTAN
OH
Enumeration date
03/11/2011
Last updated
09/29/2015
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