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NPI Code Detail

MEDICARE: ROBERT MITCHELL DPT

MEDICARE: ROBERT MITCHELL 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 TherapistPT109887OH

General Provider Information

NPI Number : 1801527361
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT MITCHELL DPT
Provider Business Mailing Address
First Line : 1200 GLENDALE MILFORD RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-1209
Country : US
Telephone Number : 513-733-3370
Fax Number :
Provider Business Practice Location Address
First Line : 1200 GLENDALE MILFORD RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-1209
Country : US
Telephone Number : 513-733-3370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2022
Last Update Date : 06/23/2022

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