Custom Care Rehab, LLC

NPI #1619598778 in Peninsula, Ohio

Provider Information

NPI Number: 1619598778
Entity Type: Organization
Organization Name: Custom Care Rehab, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 29, 2020
Last Updated: Jun 20, 2020

Practice Location

Address: 4175 BELLAIRE LN
City: Peninsula
State: Ohio
ZIP Code: 44264-9787
Phone: (330) 618-5703

Authorized Official

Name: AMY MCMILLIN, PT
Title: OWNER/ PHYSICAL THERAPIST
Phone: (330) 618-5703

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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