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NPI Code Detail

MEDICARE: BRITTANY FORD DPT

MEDICARE:   BRITTANY  FORD  DPT
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
1225100000XPhysical TherapistOH

General Provider Information

NPI Number : 1518475417
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY FORD DPT
Provider Business Mailing Address
First Line : 95 KENTUCKY DR UNIT 101
Second Line :
City : NEWPORT
State : KY
Zip : 41071-1100
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4953 SECTION AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2120
Country : US
Telephone Number : 513-712-9287
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2018
Last Update Date : 01/14/2018

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Directions to “ BRITTANY FORD DPT” Practice Location

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