Executive Rehab Services Ltd.

NPI #1972678100 in Newark, Ohio

Provider Information

NPI Number: 1972678100
Entity Type: Organization
Organization Name: Executive Rehab Services Ltd.
Primary Specialty: Specialist
Enumeration Date: Nov 22, 2006
Last Updated: Feb 9, 2012

Practice Location

Address: 1945 TAMARACK RD
City: Newark
State: Ohio
ZIP Code: 43055-1300
Phone: (740) 349-9777

Authorized Official

Name: MRS. LINDSEY TATE
Title: BUSINESS DIRECTOR
Phone: (740) 349-8454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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