Provider Demographics
NPI:1386868057
Name:ALLMAN, MARY BETH H (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARY BETH
Middle Name:H
Last Name:ALLMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6620 BLACKS RD SW
Mailing Address - Street 2:
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-9519
Mailing Address - Country:US
Mailing Address - Phone:740-964-0545
Mailing Address - Fax:
Practice Address - Street 1:1425 YORKLAND RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-1686
Practice Address - Country:US
Practice Address - Phone:614-751-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH009838314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility