Healthcare Provider Details

I. General information

NPI: 1558365437
Provider Name (Legal Business Name): PHILLIP D CADMAN PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 10/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10400 READING RD STE 105
CINCINNATI OH
45241-4816
US

IV. Provider business mailing address

10400 READING RD SUITE 105
CINCINNATI OH
45241-4816
US

V. Phone/Fax

Practice location:
  • Phone: 513-733-3370
  • Fax: 513-786-7893
Mailing address:
  • Phone: 513-733-3370
  • Fax: 513-786-7893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT07836
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: