MEDICARE: MISS HEATHER LAURA GRADEN P.T., A.T.C

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	2251X0800X	Orthopedic Physical Therapist	PT013373	OH

General Provider Information

NPI Number	:	1457329914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS HEATHER LAURA GRADEN P.T., A.T.C

Provider Business Mailing Address
First Line	:	206 ALBERT SABIN WAY RM 1021
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45267-2800
Country	:	US
Telephone Number	:	513-221-0325
Fax Number	:	513-221-0759

Provider Business Practice Location Address
First Line	:	206 ALBERT SABIN WAY RM 1021
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45267-2800
Country	:	US
Telephone Number	:	513-221-0325
Fax Number	:	513-221-0759

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

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	12/23/2025

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