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NPI Code Detail

MEDICARE: JOANN EUGENIA ERBY PTA

MEDICARE:   JOANN EUGENIA ERBY  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
1225200000XPhysical Therapy Assistant4336OH

General Provider Information

NPI Number : 1427482645
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANN EUGENIA ERBY PTA
Provider Business Mailing Address
First Line : 2571 ADIRONDACK TRL
Second Line :
City : DAYTON
State : OH
Zip : 45409-1909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 700 W PETE ROSE WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45203-1892
Country : US
Telephone Number : 513-381-3380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2013
Last Update Date : 08/23/2013

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Directions to “ JOANN EUGENIA ERBY PTA” Practice Location

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