Organization
EXCEL PHYSICAL THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE ALAN SUMMERS PT, MPT, OCS, C-IDN (OWNER/PRESIDENT)
(330) 868-4362
Entity
Organization
Contact information
Practice address
108 NORTH MAIN STREET, WAYNESBURG, OH 44688
(330) 868-4362
(330) 868-5146
Mailing address
PO BOX 366, LISBON, OH 44432-0366
(330) 424-9033
(330) 424-9053
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT006697
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2133588
—
OH
Enumeration date
03/13/2014
Last updated
08/30/2022
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