Functional Physical Medicine Associates LLC

NPI #1750629515 in Canton, Ohio

Provider Information

NPI Number
1750629515
Entity Type
Organization
Organization Name
Functional Physical Medicine Associates LLC
Primary Specialty
Physical Medicine & Rehabilitation
Enumeration Date
Jan 29, 2013
Last Updated
Jan 29, 2013

Practice Location

Address
4418 22ND ST NW
City
Canton
State
Ohio
ZIP Code
44708-1574
Phone
(330) 479-9645

Authorized Official

Name
MS. CASANDRA ROSE ENGELBACH
Title
OFFICE MANAGER/CREDENTIALING CONTAC
Phone
(330) 479-9645

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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