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NPI Code Detail

MEDICARE: LAURA WALSH

MEDICARE: LAURA WALSH
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 AssistantPTA.09904OH

General Provider Information

NPI Number : 1770970907
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA WALSH
Provider Business Mailing Address
First Line : 230 W GALBRAITH RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-5223
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 230 W GALBRAITH RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-5223
Country : US
Telephone Number : 513-679-9523
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2015
Last Update Date : 04/27/2015

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Directions to “ LAURA WALSH ” Practice Location

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