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NPI Code Detail

MEDICARE: PAMELA BETTNER PTA

MEDICARE: PAMELA BETTNER 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
1171W00000XContractorPTA.01423OH

General Provider Information

NPI Number : 1174810469
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA BETTNER PTA
Provider Business Mailing Address
First Line : 7299 KIRKRIDGE DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45233-4232
Country : US
Telephone Number : 513-941-4378
Fax Number :
Provider Business Practice Location Address
First Line : 8650 GOVERNORS HILL DR STE 180
Second Line :
City : CINCINNATI
State : OH
Zip : 45249-1399
Country : US
Telephone Number : 513-791-5766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2011
Last Update Date : 07/07/2011

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1508130303 — ANN MARGARET FERSHTMAN MSPT
Practice Location Address:
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Practice Fax: 513-683-1500

Directions to “ PAMELA BETTNER PTA” Practice Location

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