Organization
PERRYSBURG REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE M BREEN LPT (OWNER)
(419) 897-9265
Entity
Organization
Contact information
Practice address
1900 INDIAN WOOD CIR, SUITE 100, MAUMEE, OH 43537-4033
(419) 897-9265
(419) 897-0544
Mailing address
1900 INDIAN WOOD CIR, SUITE 100, MAUMEE, OH 43537-4033
(419) 897-9265
(419) 897-0544
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT007350
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2188127
—
OH
Enumeration date
01/24/2008
Last updated
01/24/2008
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