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NPI Code Detail

MEDICARE: LAURA DYE PT

MEDICARE: LAURA DYE 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 Therapist06141OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00127093OTHEROHMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000139398OTHEROHANTHEM

General Provider Information

NPI Number : 1306827548
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA DYE PT
Provider Business Mailing Address
First Line : 1397 S CANFIELD NILES RD
Second Line : UNIT 1
City : AUSTINTOWN
State : OH
Zip : 44515-4084
Country : US
Telephone Number : 330-953-0129
Fax Number : 330-953-0650
Provider Business Practice Location Address
First Line : 1397 S CANFIELD NILES RD
Second Line : UNIT 1
City : AUSTINTOWN
State : OH
Zip : 44515-4084
Country : US
Telephone Number : 330-953-0129
Fax Number : 330-953-0650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2005
Last Update Date : 11/30/2016

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Directions to “ LAURA DYE PT” Practice Location

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