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NPI Code Detail

MEDICARE: MARY CAROLYN POPP PTA

MEDICARE: MARY CAROLYN POPP PTA
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
1225200000XPhysical Therapy AssistantPTA 03360OH

General Provider Information

NPI Number : 1982736161
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY CAROLYN POPP PTA
Provider Business Mailing Address
First Line : 1090 PINEHOLLOW LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-5722
Country : US
Telephone Number : 513-522-3397
Fax Number :
Provider Business Practice Location Address
First Line : 8650 GOVERNORS HILL DR STE 180
Second Line :
City : CINCINNATI
State : OH
Zip : 45249-1399
Country : US
Telephone Number : 513-791-5766
Fax Number : 513-791-3289
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 07/08/2007

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Practice Fax:
1932472404 — MS. KAREN THERESA SCHLUNT MPT
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CINCINNATI, OH
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1508130303 — ANN MARGARET FERSHTMAN MSPT
Practice Location Address:
8650 GOVERNORS HILL DR STE 180
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Practice Fax: 513-683-1500

Directions to “ MARY CAROLYN POPP PTA” Practice Location

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