Organization
ELITE REHAB & FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LADONA K. MCMACKIN P.T. (CO-OWNER)
(740) 646-5652
Entity
Organization
Contact information
Practice address
202 PARK AVE, SUITE A, IRONTON, OH 45638-1548
(740) 532-0770
Mailing address
PO BOX 107, IRONTON, OH 45638-0107
(740) 532-0770
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.007608
OH
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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