Organization
EXECUTIVE REHAB SERVICES LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDSEY TATE (BUSINESS DIRECTOR)
(740) 349-8454
Entity
Organization
Contact information
Practice address
1945 TAMARACK RD, NEWARK, OH 43055-1300
(740) 349-9777
(740) 349-0787
Mailing address
1945 TAMARACK RD, NEWARK, OH 43055-1300
(740) 349-9777
(740) 349-0787
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2811256
—
OH
Enumeration date
11/22/2006
Last updated
02/09/2012
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