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Individual

MADISON MIZE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
150 W MAIN ST, NEW ALBANY, OH 43054-9229
(614) 685-9425
(614) 685-9426
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2639
(614) 722-2000

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT.019921
OH
2251P0200X
Pediatric Physical Therapist
Primary
PT.019921
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0498051
OH
Enumeration date
07/11/2022
Last updated
04/10/2025
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