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NPI Code Detail

MEDICARE: ALICE F CAIN PT

MEDICARE:   ALICE F CAIN  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 Therapist002900OH

General Provider Information

NPI Number : 1588868988
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALICE F CAIN PT
Provider Business Mailing Address
First Line : 5045 MIDDLEBRANCH AVE NE
Second Line :
City : CANTON
State : OH
Zip : 44705-3250
Country : US
Telephone Number : 330-493-4846
Fax Number :
Provider Business Practice Location Address
First Line : 5822 MIDDLEBRANCH AVE NE
Second Line :
City : CANTON
State : OH
Zip : 44721-3661
Country : US
Telephone Number : 330-492-1193
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2007
Last Update Date : 07/08/2007

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Directions to “ ALICE F CAIN PT” Practice Location

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