Individual
BABETTE RIELLY NORTHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9419 KENWOOD RD, BLUE ASH, OH 45242-6811
(513) 792-0777
Mailing address
9419 KENWOOD RD, BLUE ASH, OH 45242-6811
(513) 792-0777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06199
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT178
HUMANA
OH
Enumeration date
05/14/2021
Last updated
05/14/2021
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