Organization Name: | TOTAL JOINT REHABILITATION INC. |
NPI Number: | 1053355826 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JASON KUCHARSKI (PRESIDENT) |
Mailing Address: | 34143 Center Ridge Rd North Ridgeville |
State: | OH US |
Postal Code: | 440393221 |
Phone Number: | 2162257054 |
Fax Number: | 2164761428 |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT. 008626 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |