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NPI Code Detail

MEDICARE: KATHLEEN MARGARET O'LEARY

MEDICARE:   KATHLEEN MARGARET O'LEARY
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 AssistantPTA.06415OH

General Provider Information

NPI Number : 1932493483
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN MARGARET O'LEARY
Provider Business Mailing Address
First Line : 1830 W 28TH ST
Second Line : APT 8
City : CLEVELAND
State : OH
Zip : 44113-3064
Country : US
Telephone Number : 330-240-3624
Fax Number :
Provider Business Practice Location Address
First Line : 1830 W 28TH ST
Second Line : APT 8
City : CLEVELAND
State : OH
Zip : 44113-3064
Country : US
Telephone Number : 330-240-3624
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2011
Last Update Date : 06/01/2011

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Directions to “ KATHLEEN MARGARET O'LEARY ” Practice Location

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