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NPI Code Detail

MEDICARE: MRS. MARY BETH H ALLMAN PT

MEDICARE: MRS. MARY BETH H ALLMAN 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
1314000000XSkilled Nursing Facility009838OH

General Provider Information

NPI Number : 1386868057
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARY BETH H ALLMAN PT
Provider Business Mailing Address
First Line : 6620 BLACKS RD SW
Second Line :
City : PATASKALA
State : OH
Zip : 43062-9519
Country : US
Telephone Number : 740-964-0545
Fax Number :
Provider Business Practice Location Address
First Line : 1425 YORKLAND RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43232-1686
Country : US
Telephone Number : 614-751-2525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 07/08/2007

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