Great Lakes Rehab, LLC

NPI #1154380822 in Canfield, Ohio

Provider Information

NPI Number
1154380822
Entity Type
Organization
Organization Name
Great Lakes Rehab, LLC
Primary Specialty
Physical Medicine & Rehabilitation
Enumeration Date
Mar 21, 2006
Last Updated
Dec 17, 2007

Practice Location

Address
6674 TIPPECANOE RD
Address 2
SUITE # 1
State
Ohio
ZIP Code
44406-9149
Phone
(330) 533-0919

Authorized Official

Name
DR. ERIC T GROSS, M.D.
Title
PRESIDENT
Phone
(330) 533-0919

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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