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Smr Banyan Tree, INC.

Clinic/Center, Physical Therapy in Macedonia, OH. Organization (NPI-2).

NPI number1649200049
StatusActive
Last updated in NPPESJun 28, 2010

Details

NPI
1649200049
Entity type
Organization (NPI-2)
Legal business name
Smr Banyan Tree, INC.
Organization subpart
No
Enumeration date
Jul 3, 2006
Last updated
Jun 28, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2000X Clinic/Center, Physical Therapy––Yes

Other names

  • Banyan Tree Rehabilitation (Doing Business As)

Practice location

953 E Aurora Rd
Macedonia, OH 44056-1953

Phone 330-468-6070 · Fax 330-468-6066

Mailing address

Po Box 1245
Indiana, PA 15701-5245

Phone 724-465-3496 · Fax 215-413-4682

Authorized official

Jayne Fleck Pool
Chief Compliance Officer
4694678705

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