Physicians Diagnostic & Rehabilitation Center Of Warren In | |
2048 N River Rd Ne # 3, Warren, OH 44483-2530 | |
(330) 372-5550 | |
(330) 372-5551 |
Full Name | Physicians Diagnostic & Rehabilitation Center Of Warren In |
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Type | Facility |
Speciality | Physical Medicine & Rehabilitation |
Location | 2048 N River Rd Ne # 3, Warren, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1700987229 | NPI | - | NPPES |
2459307 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
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111NR0200X | Chiropractor - Radiology | 3569 (Ohio) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 34.002093 (Ohio) | Primary |
Provider Name | Joseph B Masternick |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669491569 PECOS PAC ID: 1658269089 Enrollment ID: I20040308001050 |
Provider Name | Keith Farrell |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1679590541 PECOS PAC ID: 8426099375 Enrollment ID: I20050520000333 |
Provider Name | Daniel E Lawrence |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1386976272 PECOS PAC ID: 1759536162 Enrollment ID: I20130308000167 |
Provider Name | Sara E Dorris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174930986 PECOS PAC ID: 0244458412 Enrollment ID: I20140829001346 |
Provider Name | Kelley L Younkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427456433 PECOS PAC ID: 3375861131 Enrollment ID: I20151111001129 |
Provider Name | Mark S Raseta |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144516790 PECOS PAC ID: 5294028783 Enrollment ID: I20160720002989 |
Mailing Address | Practice Location Address |
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Physicians Diagnostic & Rehabilitation Center Of Warren In Po Box 14465, Poland, OH 44514-7465 Ph: (330) 372-5550 | Physicians Diagnostic & Rehabilitation Center Of Warren In 2048 N River Rd Ne # 3, Warren, OH 44483-2530 Ph: (330) 372-5550 |