Mohican Therapy Group

NPI #1699911891 in Mansfield, Ohio

Provider Information

NPI Number: 1699911891
Entity Type: Organization
Organization Name: Mohican Therapy Group
Primary Specialty: Physical Therapist
Enumeration Date: Dec 18, 2008
Last Updated: Oct 6, 2009

Practice Location

Address: 1265 LEXINGTON AVE
City: Mansfield
State: Ohio
ZIP Code: 44907-2613
Phone: (419) 525-4200

Authorized Official

Name: MR. KEVIN STALLARD
Title: OPERATIONS MANAGER
Phone: (740) 392-8811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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