Healthcare Provider Details

I. General information

NPI: 1275515512
Provider Name (Legal Business Name): SEAN EDWARD APKE PHYSICAL THERAPY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 PROBASCO ST COMMUNICARE OF CLIFTON
CINCINNATI OH
45220-2710
US

IV. Provider business mailing address

208 SHADOW WOOD CT
LOVELAND OH
45140-9337
US

V. Phone/Fax

Practice location:
  • Phone: 513-281-2464
  • Fax: 513-281-1309
Mailing address:
  • Phone: 513-697-9661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT05916
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: