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Organization

EXOUSIA REHABILITATIVE SERVICES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TARONE CLAYBROOK MA/OT (CFO CHIEF FINANCIAL OFFICER)
(330) 788-2115
Entity
Organization

Contact information

Practice address
211 REDONDO RD, YOUNGSTOWN, OH 44504-1805
(330) 788-2115
(234) 232-7650
Mailing address
3940 LOCKWOOD BLVD, YOUNGSTOWN, OH 44511-3522
(330) 788-2115
(234) 252-7650

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
OT05585
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3097536
OH
01
5003276
OHIO DODD
OH
Enumeration date
06/11/2009
Last updated
03/20/2018
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