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NPI Code Detail

MEDICARE: MR. JEFFREY L. KACSANDI P.T.

MEDICARE:  MR. JEFFREY L. KACSANDI  P.T.
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 TherapistPT. 009396OH

General Provider Information

NPI Number : 1245371301
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFFREY L. KACSANDI P.T.
Provider Business Mailing Address
First Line : 1853 MOORE RD
Second Line :
City : AVON
State : OH
Zip : 44011-1786
Country : US
Telephone Number : 440-653-6031
Fax Number :
Provider Business Practice Location Address
First Line : 4511 ROCKSIDE RD
Second Line : SUITE 330
City : INDEPENDENCE
State : OH
Zip : 44131-2199
Country : US
Telephone Number : 216-901-0400
Fax Number : 216-901-0401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2007
Last Update Date : 07/08/2007

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Directions to “ MR. JEFFREY L. KACSANDI P.T.” Practice Location

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