Organization
MOTOR CONTROL RESTORATION
Active
Other names
Motor Control Restoration, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E BOLEK MD (OWNER)
(216) 346-5673
Entity
Organization
Contact information
Practice address
21403 CHAGRIN BLVD STE 212, BEACHWOOD, OH 44122-5322
(216) 346-5673
Mailing address
21403 CHAGRIN BLVD STE 212, BEACHWOOD, OH 44122-5322
(216) 346-5673
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/16/2015
Last updated
09/17/2015
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