Organization
CONCORDE THERAPY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK D MOTTICE PT (PRESIDENT)
(330) 493-4210
Entity
Organization
Contact information
Practice address
4645 BELPAR ST NW, CANTON, OH 44718-3602
(330) 493-4210
(330) 493-4744
Mailing address
4645 BELPAR ST NW, CANTON, OH 44718-3602
(330) 493-4210
(330) 493-4744
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0355949
—
OH
Enumeration date
08/14/2006
Last updated
05/23/2021
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