Organization
REVIVE ORTHOPEDIC AND SPINAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRAHAM A KUTA PT (TAX ID OWNER)
(440) 357-1717
Entity
Organization
Contact information
Practice address
7545 FREDLE DR, CONCORD TOWNSHIP, OH 44077-9406
(440) 357-1717
(440) 357-5252
Mailing address
7545 FREDLE DR, CONCORD TOWNSHIP, OH 44077-9406
(440) 357-1717
(440) 357-5252
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
11/29/2021
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