Lifeline Partners of Canton, INC

NPI #1407040652 in Beachwood, Ohio

Provider Information

NPI Number: 1407040652
Entity Type: Organization
Organization Name: Lifeline Partners of Canton, INC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 30, 2007
Last Updated: Aug 30, 2007

Practice Location

Address: 24700 CHAGRIN BLVD
Address 2: SUITE 101
City: Beachwood
State: Ohio
ZIP Code: 44122-5647
Phone: (330) 759-5981

Authorized Official

Name: BRUCE BURGDORF
Title: VP
Phone: (330) 759-5981

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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