Organization Name: | LUYSTER REHAB INC. |
NPI Number: | 1215115795 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD B LUYSTER (PRESIDENT) |
Mailing Address: | 306 W High Ave New Philadelphia |
State: | OH US |
Postal Code: | 446632134 |
Phone Number: | 7404910791 |
Fax Number: | 8662744974 |
NPI Enumeration Date: | 02/06/2008 |
NPI Last Update Date: | 02/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | PT-08819 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |