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NPI Code Detail

MEDICARE: MR. ANDREW HOVER

MEDICARE: MR. ANDREW HOVER
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
12251G0304XGeriatric Physical Therapist

General Provider Information

NPI Number : 1316603665
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANDREW HOVER
Provider Business Mailing Address
First Line : 19455 ROCKSIDE RD
Second Line :
City : BEDFORD
State : OH
Zip : 44146-2000
Country : US
Telephone Number : 440-439-8666
Fax Number :
Provider Business Practice Location Address
First Line : 19455 ROCKSIDE RD
Second Line :
City : BEDFORD
State : OH
Zip : 44146-2000
Country : US
Telephone Number : 440-439-8666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2021
Last Update Date : 11/11/2021

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Directions to “ MR. ANDREW HOVER ” Practice Location

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