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NPI Code Detail

MEDICARE: JAMI LYNNE BOVID PTA

MEDICARE: JAMI LYNNE BOVID 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 Assistant09928OH

General Provider Information

NPI Number : 1427521129
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMI LYNNE BOVID PTA
Provider Business Mailing Address
First Line : 2061 OLDE SAWMILL BLVD
Second Line :
City : DUBLIN
State : OH
Zip : 43016-9091
Country : US
Telephone Number : 989-751-0159
Fax Number :
Provider Business Practice Location Address
First Line : 717 NEIL AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-1609
Country : US
Telephone Number : 614-228-8888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2019
Last Update Date : 01/04/2019

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