Provider Demographics
NPI:1114103561
Name:ALTEN, MARY F (LPTA)
Entity Type:Individual
Prefix:MISS
First Name:MARY
Middle Name:F
Last Name:ALTEN
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:F
Other - Last Name:ALLTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5764 ASHCRAFT DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-2326
Mailing Address - Country:US
Mailing Address - Phone:513-238-1160
Mailing Address - Fax:
Practice Address - Street 1:8 RIDGE CIR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-2829
Practice Address - Country:US
Practice Address - Phone:513-683-2414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-16
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPTA OH 01131225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant