Organization
JAWORSKI PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J JAWORSKI PT (PRESIDENT)
(440) 366-5993
Entity
Organization
Contact information
Practice address
137 WINCKLES STREET, ELYRIA, OH 44035
(440) 366-5993
(440) 366-5313
Mailing address
137 WINCKLES STREET, ELYRIA, OH 44035
(440) 366-5993
(440) 366-5313
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000166082
ANTHEM BLUE CROSS
OH
01
—
000000217335
ANTHEM BLUE CROSS
OH
01
—
000000217337
ANTHEM BLUE CROSS
OH
01
—
0654140
AETNA
OH
05
—
2167462
—
OH
Enumeration date
04/22/2006
Last updated
07/21/2022
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