Healthcare Provider Details

I. General information

NPI: 1679546030
Provider Name (Legal Business Name): ANDREW EFKEMAN LPT
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2475 W GALBRAITH RD
CINCINNATI OH
45239-4368
US

IV. Provider business mailing address

9419 KENWOOD RD
CINCINNATI OH
45242-6811
US

V. Phone/Fax

Practice location:
  • Phone: 513-729-1798
  • Fax: 513-729-2041
Mailing address:
  • Phone: 513-792-0777
  • Fax: 513-792-0061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberPT5246
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: