Smr Banyan Tree, Inc.

NPI #1649200049 in Macedonia, Ohio

Provider Information

NPI Number: 1649200049
Entity Type: Organization
Organization Name: Smr Banyan Tree, Inc.
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Jul 3, 2006
Last Updated: Jun 28, 2010

Practice Location

Address: 953 E AURORA RD
City: Macedonia
State: Ohio
ZIP Code: 44056-1953
Phone: (330) 468-6070

Authorized Official

Name: MRS. JAYNE FLECK POOL
Title: CHIEF COMPLIANCE OFFICER
Phone: (469) 467-8705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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