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Organization

PHYT FOR FUNCTION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS SANDERS (PT/OWNER)
(330) 718-6445
Entity
Organization

Contact information

Practice address
5170 HUDSON DR, HUDSON, OH 44236-3797
(330) 614-7498
Mailing address
727 MAURO CIR SE, WARREN, OH 44484-3739

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
0013293
OH

Other

Enumeration date
12/29/2017
Last updated
12/29/2017
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