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NPI Code Detail

MEDICARE: AMY CAYWARD LADU M.P.T.

MEDICARE:   AMY CAYWARD LADU  M.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 TherapistPT007592OH

General Provider Information

NPI Number : 1881983310
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY CAYWARD LADU M.P.T.
Provider Business Mailing Address
First Line : 5672 W BROAD ST
Second Line :
City : GALLOWAY
State : OH
Zip : 43119-8127
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5672 W BROAD ST
Second Line :
City : GALLOWAY
State : OH
Zip : 43119-8127
Country : US
Telephone Number : 614-878-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2011
Last Update Date : 04/05/2011

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Directions to “ AMY CAYWARD LADU M.P.T.” Practice Location

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