MEDICARE: MS. JANICE MARIE DUNCAN MS, PT

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
1	225100000X	Physical Therapist	003902	OH

General Provider Information

NPI Number	:	1053484691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANICE MARIE DUNCAN MS, PT

Provider Business Mailing Address
First Line	:	1150 W 8TH ST
Second Line	:	SUITE 120
City	:	CINCINNATI
State	:	OH
Zip	:	45203-1202
Country	:	US
Telephone Number	:	513-241-4135
Fax Number	:	513-241-6510

Provider Business Practice Location Address
First Line	:	1150 W 8TH ST
Second Line	:	SUITE 120
City	:	CINCINNATI
State	:	OH
Zip	:	45203-1202
Country	:	US
Telephone Number	:	513-241-4135
Fax Number	:	513-241-6510

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	07/08/2007

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