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NPI Code Detail

MEDICARE: ANNIE MACAINE DAFF PT, DPT

MEDICARE: ANNIE MACAINE DAFF PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist020250OH

General Provider Information

NPI Number : 1043916588
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNIE MACAINE DAFF PT, DPT
Provider Business Mailing Address
First Line : 1469 ELIZABETH LN
Second Line :
City : MACEDONIA
State : OH
Zip : 44056-1979
Country : US
Telephone Number : 330-569-4158
Fax Number :
Provider Business Practice Location Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-444-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2023
Last Update Date : 05/05/2026

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Directions to “ ANNIE MACAINE DAFF PT, DPT” Practice Location

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