Basic Information
Provider Information
NPI: 1922125921
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: APKE
FirstName: TONYA
MiddleName: L
NamePrefix: DR.
NameSuffix:  
Credential: DPT, OCS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 208 SHADOW WOOD CT
Address2:  
City: LOVELAND
State: OH
PostalCode: 451409337
CountryCode: US
TelephoneNumber: 5136979661
FaxNumber:  
Practice Location
Address1: 5701 DELHI RD
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452331669
CountryCode: US
TelephoneNumber: 5132444697
FaxNumber: 5134512547
Other Information
ProviderEnumerationDate: 03/23/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X5606OHY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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