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NPI Code Detail

MEDICARE: DONNA WHITTAKER

MEDICARE:   DONNA  WHITTAKER
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 Assistant02319OH

General Provider Information

NPI Number : 1821196809
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA WHITTAKER
Provider Business Mailing Address
First Line : 2407 STANFIELD DR
Second Line :
City : PARMA
State : OH
Zip : 44134-5001
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5273 BROADVIEW RD
Second Line :
City : PARMA
State : OH
Zip : 44134-1626
Country : US
Telephone Number : 216-749-6650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 07/08/2007

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Directions to “ DONNA WHITTAKER ” Practice Location

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