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NPI Code Detail

MEDICARE: SALLY EAKIN DANIELS PT

MEDICARE: SALLY EAKIN DANIELS 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 Therapist2607OH

General Provider Information

NPI Number : 1851501829
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALLY EAKIN DANIELS PT
Provider Business Mailing Address
First Line : 404 E CHESTNUT ST
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-2713
Country : US
Telephone Number : 740-392-4974
Fax Number :
Provider Business Practice Location Address
First Line : 11660 UPPER GILCHRIST RD
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-9084
Country : US
Telephone Number : 740-392-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 07/08/2007

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