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NPI Code Detail

MEDICARE: MRS. DENISE ELLEN KULAS PTA

MEDICARE: MRS. DENISE ELLEN KULAS PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant5176OH

General Provider Information

NPI Number : 1003940685
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DENISE ELLEN KULAS PTA
Provider Business Mailing Address
First Line : 9409 MANORFORD DR
Second Line :
City : PARMA HEIGHTS
State : OH
Zip : 44130-3239
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6455 PEARL RD
Second Line :
City : PARMA HEIGHTS
State : OH
Zip : 44130-2984
Country : US
Telephone Number : 440-887-6254
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 07/08/2007

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