Healthcare Provider Details

I. General information

NPI: 1982978540
Provider Name (Legal Business Name): MARY E LEEMHUIS PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/29/2012
Last Update Date: 02/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 WEST GALBRAITH RD
CINCINNATI OH
45216
US

IV. Provider business mailing address

8037 MONTE DRIVE
CINCINNATI OH
45242-7073
US

V. Phone/Fax

Practice location:
  • Phone: 513-418-2500
  • Fax:
Mailing address:
  • Phone: 513-794-9588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number009755
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: