Organization
PYMATUNING REHABILITATION SERVICES
Active
Other names
PRS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL J. MENTGES SLP (PRESIDENT CEO)
(440) 293-7278
Entity
Organization
Contact information
Practice address
571 GOODALE RD, JEFFERSON, OH 44047-9503
(440) 576-7278
(440) 576-8432
Mailing address
571 GOODALE RD, JEFFERSON, OH 44047-9503
(440) 576-7278
(440) 576-8432
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2002219
—
OH
Enumeration date
05/09/2007
Last updated
07/28/2015
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