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NPI Code Detail

MEDICARE: CYNTHIA NIEBERDING PT

MEDICARE:   CYNTHIA  NIEBERDING  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 Therapist6640OH

General Provider Information

NPI Number : 1144640244
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA NIEBERDING PT
Provider Business Mailing Address
First Line : 850 COLUMBIA RD STE 110
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-7213
Country : US
Telephone Number : 440-250-5767
Fax Number :
Provider Business Practice Location Address
First Line : 850 COLUMBIA RD STE 110
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-7213
Country : US
Telephone Number : 440-250-5767
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2014
Last Update Date : 04/16/2014

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Directions to “ CYNTHIA NIEBERDING PT” Practice Location

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