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NPI Code Detail

MEDICARE: YUE SONG MPT

MEDICARE: YUE SONG MPT
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 Therapist

General Provider Information

NPI Number : 1851506984
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUE SONG MPT
Provider Business Mailing Address
First Line : 5500 EAST BROAD STREET
Second Line :
City : COLUMBUS
State : OH
Zip : 43213
Country : US
Telephone Number : 614-717-5545
Fax Number :
Provider Business Practice Location Address
First Line : 5500 E BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-1476
Country : US
Telephone Number : 614-717-5545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2007
Last Update Date : 02/07/2014

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Directions to “ YUE SONG MPT” Practice Location

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