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NPI Code Detail

MEDICARE: ABBY MAIORANO PTA

MEDICARE: ABBY MAIORANO 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 AssistantPTA05320OH

General Provider Information

NPI Number : 1558487942
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBY MAIORANO PTA
Provider Business Mailing Address
First Line : 5000 BALDWIN HILLS DR
Second Line :
City : ENGLEWOOD
State : OH
Zip : 45322-3510
Country : US
Telephone Number : 937-836-8916
Fax Number :
Provider Business Practice Location Address
First Line : 1390 KING TREE DR
Second Line : RIVERSIDE NURSING AND REHABILITATION
City : DAYTON
State : OH
Zip : 45405-1401
Country : US
Telephone Number : 937-278-0723
Fax Number : 937-276-8280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 07/08/2007

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Directions to “ ABBY MAIORANO PTA” Practice Location

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