Healthcare Provider Details

I. General information

NPI: 1992785810
Provider Name (Legal Business Name): CARA M PHILLIPS MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARA M SALVATI PT

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 10/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E- BUSINESS WAY SUITE C
CINCINNATI OH
45241
US

IV. Provider business mailing address

6480 HARRISON AVENUE SUITE 201
CINCINNATI OH
45247
US

V. Phone/Fax

Practice location:
  • Phone: 513-389-3666
  • Fax: 513-389-3665
Mailing address:
  • Phone: 513-354-3700
  • Fax: 513-354-7651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT09725
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: