Organization
ELECTRODIAGNOSTIC REHAB ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS HOLLY SCHULZE (OFFICE MANAGER)
(419) 222-3482
Entity
Organization
Contact information
Practice address
658 W. MARKET ST., SUITE 117, LIMA, OH 45801-4697
(419) 222-3482
(419) 222-3668
Mailing address
658 W. MARKET ST., SUITE 117, LIMA, OH 45801-4697
(419) 222-3482
(419) 222-3668
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-06-9111J
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0184009
—
OH
05
—
0189326
—
OH
05
—
0290162
—
OH
Enumeration date
05/03/2007
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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