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NPI Code Detail

MEDICARE: MR. JASON EBBING PT

MEDICARE:  MR. JASON  EBBING  PT
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 Therapist10439OH

General Provider Information

NPI Number : 1659582294
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JASON EBBING PT
Provider Business Mailing Address
First Line : 1180 CHAMBERS RD APT 101C
Second Line :
City : COLUMBUS
State : OH
Zip : 43212-1714
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21 E STATE ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-4281
Country : US
Telephone Number : 614-366-3600
Fax Number : 614-366-3601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2007
Last Update Date : 07/08/2007

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Directions to “ MR. JASON EBBING PT” Practice Location

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