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NPI Code Detail

MEDICARE: NATHAN ALTHERR

MEDICARE: NATHAN ALTHERR
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
1225200000XPhysical Therapy Assistant02710OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083810147
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN ALTHERR
Provider Business Mailing Address
First Line : 996 OAKSHADE DR
Second Line :
City : GAHANNA
State : OH
Zip : 43230-3628
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5500 E BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-1476
Country : US
Telephone Number : 614-575-9003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2007
Last Update Date : 07/08/2007

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