Individual provider · Type 1 NPI

Michele Marleen Luczywo-Grunert, PTA

Physical Therapy Assistant · Ravenna, OH

NPI number 1912936287 Active

Practice location

2500 Brady Lake Rd
Ravenna, OH 44266-1610

Fax (330) 673-3714

Mailing address

4770 Green Rd
Cleveland, OH 44128-5270

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X000286 (OH)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1912936287

Michele Marleen Luczywo-Grunert, PTA's National Provider Identifier is 1912936287, issued on Jun 30, 2006. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Ravenna, OH. The record was last updated on Jul 8, 2007.