Doctor Name: | MR. JEFFREY LYNN REALE |
NPI Number: | 1538182662 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT 004856 |
Business Practice Address: | 850 W Maple St Hartville, OH - 446329668 |
Business Phone Number: | 3308773488 |
Business Fax Number: | 3308774147 |
Mailing Address: | 4645 Belpar St Nw, CANTON |
State: | OH |
Postal Code: | 447183602 |
Phone Number: | 3304934210 |
Fax Number: | 3304934744 |
NPI Enumeration Date: | 07/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 004856 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |