OrganizationActive
Erie Shores Rehabilitation, LLC
NPI 1083832539 · Speech-Language Pathologist · Nova, OH
Provider details
- NPI number
- 1083832539
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Matthew Mitchell, President(419) 652-2219
Specialties & taxonomies
Speech, Language and Hearing Service Providers
- Contractor171W00000X
Other Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1069 US Highway 224
Nova, OH 44859-9770
Phone: (419) 652-2219
Fax: (419) 652-2219
Approximate (ZIP-level) locationGet directions
Mailing address
1069 US Highway 224
Nova, OH 44859-9770
Registry dates
- Enumerated
- 2007-04-22
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.