Abbigail Ann Dauterman, | |
725 Columbus Ave, Fostoria, OH 44830-3255 | |
(419) 937-1801 | |
Not Available |
Full Name | Abbigail Ann Dauterman |
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Gender | Female |
Speciality | Physical Therapist |
Location | 725 Columbus Ave, Fostoria, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093329070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT018862 (Ohio) | Secondary |
225100000X | Physical Therapist | 05013939A (Indiana) | Primary |
Provider Name | Back In Action Physical Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356621395 PECOS PAC ID: 5597095273 Enrollment ID: O20190923002426 |
Mailing Address | Practice Location Address |
---|---|
Abbigail Ann Dauterman, 858 Township Road 293, Fostoria, OH 44830-9641 Ph: (419) 420-5181 | Abbigail Ann Dauterman, 725 Columbus Ave, Fostoria, OH 44830-3255 Ph: (419) 937-1801 |
Lauren Ekleberry, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 455 W 4th St Ste 10, Fostoria, OH 44830 Phone: 419-436-8320 | |
Paul Satyanathan, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 455 W 4th St Ste 10, Fostoria, OH 44830 Phone: 419-436-8320 | |
Gabrielle Bliss Fox, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 455 W 4th St, Suite 010, Fostoria, OH 44830 Phone: 419-436-8320 Fax: 419-436-8325 | |
Tammyan Metz Starr, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25 Christopher Dr, Fostoria, OH 44830 Phone: 419-701-7675 | |
Jaime Christie, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 455 W 4th St, Suite 010, Fostoria, OH 44830 Phone: 419-436-8320 | |
Mr. Michael P. Herbert, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1610 N Countyline St, Fostoria, OH 44830 Phone: 419-447-7203 Fax: 419-447-5577 |