Provider Demographics
NPI:1598913352
Name:FURMAN, DARRIN PAUL (PTA)
Entity Type:Individual
Prefix:MR
First Name:DARRIN
Middle Name:PAUL
Last Name:FURMAN
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:MR
Other - First Name:DARRIN
Other - Middle Name:PAUL
Other - Last Name:FURMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:2141 W PROSPECT RD
Mailing Address - Street 2:
Mailing Address - City:ASHTABULA
Mailing Address - State:OH
Mailing Address - Zip Code:44004-6439
Mailing Address - Country:US
Mailing Address - Phone:440-998-7507
Mailing Address - Fax:440-998-6222
Practice Address - Street 1:2141 W PROSPECT RD
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-6439
Practice Address - Country:US
Practice Address - Phone:440-998-7507
Practice Address - Fax:440-998-6222
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPTA.03669261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy