Organization
OHIO SPORTS & SPINE INSTITUTE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE KLEEH CPA (PRACTICE MANAGER)
(330) 758-9400
Entity
Organization
Contact information
Practice address
1265 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4004
(330) 758-9400
(330) 726-8676
Mailing address
1265 BOARDMAN CANFIELD RD, BOARDMAN, OH 44512-4004
(330) 758-9400
(330) 726-8676
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
OH34004337
OH
Other
Enumeration date
05/18/2006
Last updated
12/08/2020
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