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Organization

PHYSICIANS DIAGNOSTIC & REHABILITATION CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA IGNAZIO (OFFICE MANAGER)
(330) 758-6440
Entity
Organization

Contact information

Practice address
914 TRAILWOOD DR, BOARDMAN, OH 44512-5007
(330) 758-6440
(330) 758-6990
Mailing address
914 TRAILWOOD DR, BOARDMAN, OH 44512-5007
(330) 758-6440
(330) 758-6990

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2426
OH
111N00000X
Chiropractor
Primary
2533
OH
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
34.002093
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2318030
OH
Enumeration date
09/26/2006
Last updated
01/26/2012
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