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NPI Code Detail

MEDICARE: TAMARA ANNE HUSS PT

MEDICARE: TAMARA ANNE HUSS 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
1225100000XPhysical Therapist009953OH

General Provider Information

NPI Number : 1487709457
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA ANNE HUSS PT
Provider Business Mailing Address
First Line : 7902 BLACK WILLOW DR
Second Line :
City : BLACKLICK
State : OH
Zip : 43004-8072
Country : US
Telephone Number :
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 : 01/23/2007
Last Update Date : 07/08/2007

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