Individual
ELIZABETH ANN DUCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
735 S SHOOP AVE, WAUSEON, OH 43567-1735
(419) 335-2663
(419) 335-9615
Mailing address
735 S SHOOP AVE, WAUSEON, OH 43567-1735
(419) 335-2663
(419) 335-9615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02596
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000391993
ANTHEM
OH
05
—
2502590
—
OH
01
—
P00412615
RAILROAD MEDICARE
OH
Enumeration date
10/06/2006
Last updated
01/02/2008
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