Provider Demographics
NPI:1053156372
Name:PELIMA, VARNEY (DPT)
Entity type:Individual
Prefix:
First Name:VARNEY
Middle Name:
Last Name:PELIMA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1649 SHIRLEY AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-1734
Mailing Address - Country:US
Mailing Address - Phone:330-786-5408
Mailing Address - Fax:
Practice Address - Street 1:1587 BOETTLER RD # 140A
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-7823
Practice Address - Country:US
Practice Address - Phone:330-687-6891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT021126225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist