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NPI Code Detail

MEDICARE: CYNTHIA JANE HEINZE PT

MEDICARE: CYNTHIA JANE HEINZE 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 Therapist9931OH

General Provider Information

NPI Number : 1700276805
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA JANE HEINZE PT
Provider Business Mailing Address
First Line : 4641 BACH LN
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-1900
Country : US
Telephone Number : 513-829-4311
Fax Number :
Provider Business Practice Location Address
First Line : 4641 BACH LN
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-1900
Country : US
Telephone Number : 513-829-4311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2015
Last Update Date : 01/27/2015

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Directions to “ CYNTHIA JANE HEINZE PT” Practice Location

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