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NPI Profile for BEACON ORTHOPAEDICS SPORTS MEDICINE LTD in CINCINNATI, OH.
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X | |||
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Physician Assistant |
363A00000X | 97 | Physician Assistant |
| NPI # | 1386670065 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/24/2006 | |
| Last updated | 04/04/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD