MEDICARE: MRS. AMY L SENA MPT

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	225100000X	Physical Therapist	PT05286	KY
2	225100000X	Physical Therapist	PT012045	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT012045	OTHER	OH	PHYSICAL THERAPY

General Provider Information

NPI Number	:	1447438700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY L SENA MPT

Provider Business Mailing Address
First Line	:	3187 WESTERN ROW RD
Second Line	:	102
City	:	MAINEVILLE
State	:	OH
Zip	:	45039-8045
Country	:	US
Telephone Number	:	513-459-8599
Fax Number	:

Provider Business Practice Location Address
First Line	:	3187 WESTERN ROW RD
Second Line	:	102
City	:	MAINEVILLE
State	:	OH
Zip	:	45039-8045
Country	:	US
Telephone Number	:	513-459-8599
Fax Number	:

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

Provider Enumeration Date	:	02/08/2008
Last Update Date	:	05/09/2011

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Directions to “ MRS. AMY L SENA MPT” Practice Location

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