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
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