Organization
PHYSICAL MEDICINE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANI S AKUTHOTA MD (MEDICAL DIRECTOR)
(937) 277-7771
Entity
Organization
Contact information
Practice address
2222 PHILADELPHIA DR, DEPT OF PMR, DAYTON, OH 45406-1891
(937) 277-7771
(937) 277-3771
Mailing address
PO BOX 78000, DEPT 781272, DETROIT, MI 48278-1272
(937) 298-5536
(937) 298-5596
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0703564
—
OH
Enumeration date
05/18/2006
Last updated
11/26/2014
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