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NPI 1194191437

NPI 1194191437 : SARAH A GHIZZONI PT/OT : NEW ALBANY, OH

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General NPI Number Information
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    NPI Number           |    1194191437
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH A GHIZZONI PT/OT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/20/2015
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    Last Update Date     |    06/20/2018
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Provider Practice Location Address
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    Address Line         |    5040 FOREST DR STE 300 
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    City                 |    NEW ALBANY
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    State                |    OH
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    Zip                  |    43054-8166
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    Country              |    US
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    Telephone            |    614-890-6555
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    Fax                  |    614-823-8881
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Provider Business Mailing Address
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    Address Line         |    70 S CLEVELAND AVE 
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    City                 |    WESTERVILLE
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    State                |    OH
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    Zip                  |    43081-1397
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    Country              |    US
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    Telephone            |    614-890-6555
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    Fax                  |    614-823-8881
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT.016072
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    OT.008821
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    License Number State |    OH
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT016072
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    License Number State |    OH
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