F O R M E Medical and Rehab Center of Warren INC

NPI #1245390343 in Warren, Ohio

Provider Information

NPI Number: 1245390343
Entity Type: Organization
Organization Name: F O R M E Medical and Rehab Center of Warren INC
Primary Specialty: Chiropractor
Enumeration Date: Dec 11, 2006
Last Updated: Sep 29, 2011

Practice Location

Address: 2103 NILES CORTLAND RD SE
City: Warren
State: Ohio
ZIP Code: 44484-3067
Phone: (330) 544-3737

Authorized Official

Name: NESTOR A STYCHNO, D.M., D.C.
Title: PRESIDENT
Phone: (330) 544-3737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X

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