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Organization

GREAT EAST REHABILITATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA R MULICHAK (CONTRACT COORDINATOR)
(330) 652-2287
Entity
Organization

Contact information

Practice address
2103 NILES CORTLAND RD SE, WARREN, OH 44484-3067
(330) 652-2287
(330) 544-3904
Mailing address
2103 NILES CORTLAND RD SE, WARREN, OH 44484-3067
(330) 652-2287
(330) 544-3904

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT004636
OH

Other

Enumeration date
09/28/2010
Last updated
09/28/2010
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