Abbigail Ann Dauterman
Individual provider Active NPI Physical Therapist · Fostoria, OH
NPI 1093329070 · NPPES record last updated Nov 3, 2022
Key facts
- NPI
- 1093329070
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05013939A (IN)
- Practice address
- 725 Columbus Ave
Fostoria, OH 44830-3255 - Phone
- (419) 937-1801
- NPI assigned
- Sep 7, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05013939A | IN | MD | Physical Therapist |
| PT018862 | OH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT018862 | OH | |
| Physical Therapist | 225100000X | 05013939A | IN | Yes |
Addresses
Primary practice location
725 Columbus Ave
Fostoria, OH 44830-3255
Mailing address
858 Township Road 293
Fostoria, OH 44830-9641
Phone (419) 420-5181
Other providers in Fostoria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.