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Organization

LIFELINE PARTNERS OF CANTON, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE BURGDORF (VP)
(330) 759-5981
Entity
Organization

Contact information

Practice address
24700 CHAGRIN BLVD, SUITE 101, BEACHWOOD, OH 44122-5647
(330) 759-5981
(330) 759-9677
Mailing address
PO BOX 8005, YOUNGSTOWN, OH 44505-8005
(330) 759-5981
(330) 759-9677

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
08/30/2007
Last updated
08/30/2007
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