Western Reserve Professional Group

NPI #1588745632 in Kent, Ohio

Provider Information

NPI Number
1588745632
Entity Type
Organization
Organization Name
Western Reserve Professional Group
Primary Specialty
Physical Medicine & Rehabilitation - Pain Medicine
Enumeration Date
Oct 17, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
5700 DARROW ROAD
Address 2
SUITE 109
City
Kent
State
Ohio
ZIP Code
44240
Phone
(330) 677-3628

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation - Pain MedicinePain Medicine

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