Organization
A S REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN D GANZSARTO (CEO)
(937) 298-1111
Entity
Organization
Contact information
Practice address
8630 WASHINGTON CHURCH RD, MIAMISBURG, OH 45342-3795
(937) 298-1111
Mailing address
1251 E DOROTHY LN, KETTERING, OH 45419-2106
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
10/24/2007
Last updated
01/29/2008
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