Mary C Advent, PT

Individual provider Active NPI Physical Therapist · Solon, OH

NPI 1760419022 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1760419022
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
006078 (OH)
Practice address
30455 Solon Rd
Solon, OH 44139-3458
Phone
(440) 498-9723
Fax
(440) 498-9725
NPI assigned
Jun 26, 2006
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

LicenseStateTypeSpecialty
006078OHMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006078 OH Yes

Addresses

Primary practice location

30455 Solon Rd
Solon, OH 44139-3458

Mailing address

7529 Bendleton Dr
Hudson, OH 44236-1273
Phone (330) 656-0524

Other providers in Solon, OH

All providers in Solon, OH · Physical Therapist in Ohio

Sources for this page

Verify at the official NPI Registry.