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NPI Code Detail

MEDICARE: MR. MARIE HABIAN AVRAMAUT PT

MEDICARE: MR. MARIE HABIAN AVRAMAUT 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
1225100000XPhysical Therapist002549OH

General Provider Information

NPI Number : 1194850677
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARIE HABIAN AVRAMAUT PT
Provider Business Mailing Address
First Line : 7691 PRINCETON PL
Second Line :
City : CLEVELAND
State : OH
Zip : 44130-7029
Country : US
Telephone Number : 440-234-8223
Fax Number :
Provider Business Practice Location Address
First Line : 1275 LAKESIDE AVE E
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-1132
Country : US
Telephone Number : 216-861-0253
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2007
Last Update Date : 07/08/2007

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Directions to “ MR. MARIE HABIAN AVRAMAUT PT” Practice Location

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