Organization
REHABILITATION & PHYSICAL MEDICINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW ELLIS (OWNER / CHIROPRACTOR)
(419) 224-8007
Entity
Organization
Contact information
Practice address
750 W HIGH ST STE 200, LIMA, OH 45801-3995
(419) 224-8007
(419) 516-4881
Mailing address
750 W HIGH ST STE 200, LIMA, OH 45801-3995
(419) 224-8007
(419) 516-4881
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
12/28/2018
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