Organization
JEFFERSON REHABILITATION AND WELLNESS LLC
Active
Other names
Integrative Physical Therapy Concepts, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW LOREN BROWN PT (OWNER)
(440) 293-8654
Entity
Organization
Contact information
Practice address
14 WALL ST, JEFFERSON, OH 44047-1138
(440) 293-8654
Mailing address
14 WALL ST, JEFFERSON, OH 44047-1138
(440) 293-8654
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT007159
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000517517
BLUE CROSS BLUE SHIELD
OH
05
—
3028146
—
OH
01
—
P00415098
RAILROAD MEDICARE
OH
Enumeration date
12/20/2006
Last updated
08/29/2025
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