Organization
JAWORSKI PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN BARNETT (ADMINISTRATIVE OPERATIONS MANAGER)
(440) 366-5993
Entity
Organization
Contact information
Practice address
137 WINCKLES ST, ELYRIA, OH 44035-6151
(440) 366-5993
(440) 366-5313
Mailing address
137 WINCKLES ST, ELYRIA, OH 44035-6151
(440) 366-5993
(440) 366-5313
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5331430001
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000166082
ANTHEM BLUE CROSS BLUE SH
OH
01
—
000000217335
ANTHEM BLUE CROSS BLUE SH
OH
01
—
000000217337
ANTHEM BLUE CROSS BLUE SH
OH
05
—
2167462
—
OH
Enumeration date
05/29/2007
Last updated
06/21/2018
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