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Organization

PHYSICAL MEDICINE CENTER OF VAN WERT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOCELYN M WRAY MD (PHYSICIAN/OWNER)
(419) 586-5760
Entity
Organization

Contact information

Practice address
123 HAMILTON ST, CELINA, OH 45822-1909
(419) 586-5760
(419) 586-7179
Mailing address
140 FOX RD, VAN WERT, OH 45891-2475
(419) 586-5760
(419) 586-7179

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35078836
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2879354
OH
Enumeration date
06/27/2008
Last updated
02/25/2009
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