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NPI Code Detail

MEDICARE: JILL MARIE DUBBS P.T.

MEDICARE: JILL MARIE DUBBS P.T.
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 Therapist004779OH

General Provider Information

NPI Number : 1699941922
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL MARIE DUBBS P.T.
Provider Business Mailing Address
First Line : 1730 W 25TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-3170
Country : US
Telephone Number : 440-429-4546
Fax Number : 216-696-7485
Provider Business Practice Location Address
First Line : 1730 W 25TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-3170
Country : US
Telephone Number : 216-363-2083
Fax Number : 216-696-7485
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2008
Last Update Date : 11/17/2023

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