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NPI Code Detail

MEDICARE: BEN WHITE PHYSIOTHERAPY

MEDICARE: BEN WHITE PHYSIOTHERAPY
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1912405606
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEN WHITE PHYSIOTHERAPY
Provider Business Mailing Address
First Line : 2516 FAIRWOOD CT
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-1765
Country : US
Telephone Number : 812-361-6212
Fax Number :
Provider Business Practice Location Address
First Line : 2516 FAIRWOOD CT
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-1765
Country : US
Telephone Number : 812-361-6212
Fax Number :
Authorized Official
Title or Position : OWNER
Name : BENJAMIN WHITE
Credential : PT, DPT
Telephone Number : 812-361-6212
Provider Enumeration Date : 01/27/2018
Last Update Date : 04/30/2018

Similar Medicare Providers

1407215528 — BENJAMIN A WHITE PT, DPT
Practice Location Address:
2516 FAIRWOOD CT
BEACHWOOD, OH
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Practice Phone: 812-361-6212
Practice Fax:
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1689149742 — KELLI MCCARTNEY APRN,NP-C
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1619519444 — LAUREN MARIE DANIELS
Practice Location Address:
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Practice Fax:
1144945429 — DR. EMILY M QUAY DNP, APRN FNP-C
Practice Location Address:
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Practice Fax: 888-973-8821

Directions to “BEN WHITE PHYSIOTHERAPY ” Practice Location

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