Organization
CLEVELAND CLINIC SPORTS HEALTH CENTER
Active
Parent organization
THE CLEVELAND CLINIC FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CLEVELAND CLINIC FOUNDATION
Authorized official
GARY MILLER (COORDINATOR OF AT)
(216) 518-3429
Entity
Organization
Contact information
Practice address
4683 WAYNE ROAD, MANTUA, OH 44255
(330) 274-8396
Mailing address
4683 WAYNE RD, MANTUA, OH 44255-9664
(330) 274-8396
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
AT. 004124
OH
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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