Legacy Physiatry Group Ohio, LLC
NPI #1659768927 in Independence, Ohio
Provider Information
- NPI Number
- 1659768927
- Entity Type
- Organization
- Organization Name
- Legacy Physiatry Group Ohio, LLC
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Apr 23, 2015
- Last Updated
- Apr 23, 2015
Practice Location
- Address
- 6100 OAK TREE BLVD
- Address 2
- STE 200
- City
- Independence
- State
- Ohio
- ZIP Code
- 44131-2544
- Phone
- (972) 372-1663
Authorized Official
- Name
- VIVEK SASTRY, DO
- Title
- PRESIDENT/CEO
- Phone
- (972) 372-1663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Physician Assistant |
| Nurse Practitioner |
| Physical Medicine & Rehabilitation |
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