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Organization

PARK AVE THERAPY AND REHAB, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THEODORE TOGLIATTI MD (PRESIDENT)
(419) 589-8819
Entity
Organization

Contact information

Practice address
812 PARK AVE E, MANSFIELD, OH 44905-2860
(419) 589-8819
(419) 589-8892
Mailing address
812 PARK AVE E, MANSFIELD, OH 44905-2860
(419) 589-8819
(419) 589-8892

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35-085417
OH
363A00000X
Physician Assistant
50-000720
OH

Other

Enumeration date
11/15/2007
Last updated
01/29/2008
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