Organization
EXCEL PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE A SUMMERS PT, MPT, OCS (OWNER)
(330) 868-4362
Entity
Organization
Contact information
Practice address
200 E PERSHING ST, SALEM, OH 44460-3047
(330) 424-9033
(330) 424-9053
Mailing address
PO BOX 366, LISBON, OH 44432-0366
(330) 424-9033
(330) 424-9053
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6697
OH
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2133588
—
OH
Enumeration date
01/26/2007
Last updated
08/30/2022
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