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NPI Code Detail

MEDICARE: MRS. MICHELLE MARIE FORNADEL MHS, PT

MEDICARE: MRS. MICHELLE MARIE FORNADEL MHS, 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
12251X0800XOrthopedic Physical Therapist05426OH

General Provider Information

NPI Number : 1114909504
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHELLE MARIE FORNADEL MHS, PT
Provider Business Mailing Address
First Line : 8701 DARROW RD
Second Line :
City : TWINSBURG
State : OH
Zip : 44087
Country : US
Telephone Number : 330-888-4000
Fax Number :
Provider Business Practice Location Address
First Line : 8701 DARROW RD
Second Line :
City : TWINSBURG
State : OH
Zip : 44087-2105
Country : US
Telephone Number : 330-888-4000
Fax Number : 330-888-4000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2005
Last Update Date : 04/16/2014

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