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Organization

GREAT EAST REHABILITATION, LLC

Active
Parent organization
2103 NILES CORTLAND ROAD SE WARREN, OH 44484-3067
Organization subpart
Yes

Provider details

NPI number
Legal business name
2103 NILES CORTLAND ROAD SE WARREN, OH 44484-3067
Authorized official
MRS. ANGELA MULICHAK (BILLING COORDINATOR)
(330) 652-2287
Entity
Organization

Contact information

Practice address
953 NILES CORTLAND RD SE, WARREN, OH 44484-2538
(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
PT006881
OH

Other

Enumeration date
03/02/2011
Last updated
03/04/2011
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