Organization
INTERDISCIPLINARY MEDICAL MGT
Active
Other names
Great East Rehab Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE A STYCHNO OWNER (PRESIDENT)
(330) 544-3737
Entity
Organization
Contact information
Practice address
2103 NILES CORTLAND RD, WARREN, OH 44484
(330) 544-3737
(330) 544-3904
Mailing address
2103 NILES CORTLAND RD, WARREN, OH 44484
(330) 544-3737
(330) 544-3904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6881
OH
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6881
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2365202
—
OH
Enumeration date
11/01/2006
Last updated
09/11/2025
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