Provider Demographics
NPI:1285845172
Name:RUMAS, CARLA JUNE (PT)
Entity Type:Individual
Prefix:MS
First Name:CARLA
Middle Name:JUNE
Last Name:RUMAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 WOODRUFF RD
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44904-9582
Mailing Address - Country:US
Mailing Address - Phone:419-886-3163
Mailing Address - Fax:
Practice Address - Street 1:255 HEDGES ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44902-8611
Practice Address - Country:US
Practice Address - Phone:419-774-4235
Practice Address - Fax:419-774-4375
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-001249225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist