OrganizationActive
Custom Care Rehab, LLC
NPI 1619598778 · Physical Therapist · Peninsula, OH
Provider details
- NPI number
- 1619598778
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Amy Mcmillin, Owner/ Physical Therapist(330) 618-5703
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4175 Bellaire Ln
Peninsula, OH 44264-9787
Phone: (330) 618-5703
Approximate (ZIP-level) locationGet directions
Mailing address
4175 Bellaire Ln
Peninsula, OH 44264-9787
Registry dates
- Enumerated
- 2020-04-29
- Last updated
- 2020-06-20
- Certified
- 2020-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.