Individual
MR. JOHN THOMAS WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.T.
Contact information
Practice address
1614 S BYRNE RD, SUITE DD, TOLEDO, OH 43614-3464
(419) 385-7755
(419) 385-8007
Mailing address
1614 S BYRNE RD, SUITE DD, TOLEDO, OH 43614-3464
(419) 385-7755
(419) 385-8007
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001919
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000134925
ANTHEM BC & BS PIN
OH
05
—
0755017
—
OH
01
—
341601561-00
WORKERS COMP. PROVIDER NO
OH
01
—
341601561-01
WORKERS COMP. PROVIDER NO
OH
Enumeration date
11/21/2006
Last updated
07/09/2007
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