Healthcare Provider Details
I. General information
NPI: 1437314762
Provider Name (Legal Business Name): MARGARET E CAGNOLI PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/25/2008
Last Update Date: 05/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4605 SAWMILL RD
UPPER ARLINGTON OH
43220-2246
US
IV. Provider business mailing address
4605 SAWMILL RD
UPPER ARLINGTON OH
43220-2246
US
V. Phone/Fax
- Phone: 614-827-8700
- Fax: 614-827-8701
- Phone: 614-827-8700
- Fax: 614-827-8701
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251X0800X |
| Taxonomy | Orthopedic Physical Therapist |
| License Number | PT12024 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: