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NPI Code Detail

MEDICARE: MRS. BETSY ANN ISKRA P.T.

MEDICARE: MRS. BETSY ANN ISKRA 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 Therapist005566OH

General Provider Information

NPI Number : 1780305987
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETSY ANN ISKRA P.T.
Provider Business Mailing Address
First Line : 6517 MELSHORE DR
Second Line :
City : MENTOR
State : OH
Zip : 44060-2347
Country : US
Telephone Number : 440-283-6524
Fax Number :
Provider Business Practice Location Address
First Line : 261 RICHMOND RD
Second Line :
City : RICHMOND HEIGHTS
State : OH
Zip : 44143-4422
Country : US
Telephone Number : 440-283-6524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2022
Last Update Date : 09/06/2022

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