Western Reserve Profess

NPI #1356308407 in Kent, Ohio

Provider Information

NPI Number
1356308407
Entity Type
Organization
Organization Name
Western Reserve Profess
Primary Specialty
Physical Medicine & Rehabilitation - Pain Medicine
Enumeration Date
May 1, 2006
Last Updated
Oct 24, 2007

Practice Location

Address
307 W MAIN ST
City
Kent
State
Ohio
ZIP Code
44240-2400
Phone
(330) 677-3628

Authorized Official

Name
KELLY ANN SEMANCIK
Title
ADMINISTRATIVE DIRECTOR
Phone
(330) 677-3628

Specialties & Taxonomy Codes

Specialty
Chiropractor - OrthopedicOrthopedic
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation - Pain MedicinePain Medicine

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Provider Name
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Organizations

Provider Name
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