Organization
PORTAGE PHYSICAL THERAPISTS ,INC
Active
Other names
Allied Health Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARBIE FERRERA-MATHYS (CEO)
(330) 297-9020
Entity
Organization
Contact information
Practice address
771 N FREEDOM ST, RAVENNA, OH 44266-2470
(330) 297-9020
Mailing address
133 5TH ST SE, SUITE B, BARBERTON, OH 44203-9004
(330) 297-9020
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
OH
225100000X
Physical Therapist
—
OH
235Z00000X
Speech-Language Pathologist
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0916610
—
OH
Enumeration date
02/21/2007
Last updated
11/15/2007
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