MEDICARE: ANDREW DAVID HOBBS PTA

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
1	225200000X	Physical Therapy Assistant	011174	OH

General Provider Information

NPI Number	:	1265942221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW DAVID HOBBS PTA

Provider Business Mailing Address
First Line	:	3130 CENTRAL PARK WEST STE A
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43617-1088
Country	:	US
Telephone Number	:	419-841-9622
Fax Number	:	419-843-8288

Provider Business Practice Location Address
First Line	:	3130 CENTRAL PARK WEST STE A
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43617-1088
Country	:	US
Telephone Number	:	419-841-9622
Fax Number	:	419-843-8288

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2017
Last Update Date	:	10/04/2017

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