Provider Demographics
NPI:1689704827
Name:CLEVELAND THERAPY CENTER, INC
Entity Type:Organization
Organization Name:CLEVELAND THERAPY CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FRAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-734-4084
Mailing Address - Street 1:28895 LORAIN RD STE 200
Mailing Address - Street 2:
Mailing Address - City:NORTH OLMSTED
Mailing Address - State:OH
Mailing Address - Zip Code:44070-4042
Mailing Address - Country:US
Mailing Address - Phone:440-734-4084
Mailing Address - Fax:440-734-4184
Practice Address - Street 1:28895 LORAIN RD STE 200
Practice Address - Street 2:
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-4042
Practice Address - Country:US
Practice Address - Phone:440-734-4084
Practice Address - Fax:440-734-4184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation