Basic Information
| Provider Information | |||||||||
| NPI: | 1417170465 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NEVITS | ||||||||
| FirstName: | MARGARET | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LPTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14632 SHELDON RD | ||||||||
| Address2: | |||||||||
| City: | BROOK PARK | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441423869 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2163620321 | ||||||||
| FaxNumber: | 2165023364 | ||||||||
| Practice Location | |||||||||
| Address1: | 6455 PEARL RD | ||||||||
| Address2: | |||||||||
| City: | PARMA HEIGHTS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441302984 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4408885900 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/10/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | 01978 | OH | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.