Provider Demographics
NPI:1699229336
Name:ARC PHYSICAL MEDICINE & REHABILITATION LLC
Entity Type:Organization
Organization Name:ARC PHYSICAL MEDICINE & REHABILITATION LLC
Other - Org Name:ARC PHYSICAL MEDICINE & REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PIWOSZKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:574-361-8519
Mailing Address - Street 1:4610 CARLYNN DR
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45241-2202
Mailing Address - Country:US
Mailing Address - Phone:574-361-8519
Mailing Address - Fax:
Practice Address - Street 1:4610 CARLYNN DR
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45241-2202
Practice Address - Country:US
Practice Address - Phone:574-361-8519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-11
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4266111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty