Organization
CUSTOM CARE REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MCMILLIN PT (OWNER/ PHYSICAL THERAPIST)
(330) 618-5703
Entity
Organization
Contact information
Practice address
4175 BELLAIRE LN, PENINSULA, OH 44264-9787
(330) 618-5703
Mailing address
4175 BELLAIRE LN, PENINSULA, OH 44264-9787
(330) 618-5703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/29/2020
Last updated
06/20/2020
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