Organization
FUNCTIONAL PHYSICAL MEDICINE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASANDRA ROSE ENGELBACH (OFFICE MANAGER/CREDENTIALING CONTAC)
(330) 479-9645
Entity
Organization
Contact information
Practice address
4418 22ND ST NW, CANTON, OH 44708-1574
(330) 479-9645
(888) 892-8335
Mailing address
4418 22ND ST NW, CANTON, OH 44708-1574
(330) 479-9645
(888) 892-8335
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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