Individual
MAC-PHUONG THI HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, PTA, LMT
Contact information
Practice address
3950 RED BANK RD, CINCINNATI, OH 45227-3429
(513) 272-4011
(513) 271-0172
Mailing address
4129 CLOUGH LN, CINCINNATI, OH 45245-1708
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
01910
OH
225700000X
Massage Therapist
33-00-9596
OH
225X00000X
Occupational Therapist
Primary
OT004675
OH
Other
Enumeration date
03/10/2006
Last updated
06/11/2024
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