Organization
REHABILITATION SPECIALISTS OF SOUTHWEST OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID K MAGNUSEN M.D. (OWNER)
(937) 435-3620
Entity
Organization
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 435-3620
(937) 435-3660
Mailing address
25 TYLER CT, SPRINGBORO, OH 45066-8301
(937) 212-4098
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170008
—
OH
Enumeration date
05/31/2016
Last updated
11/14/2016
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