Provider Demographics
NPI:1508130303
Name:FERSHTMAN, ANN MARGARET (MSPT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:MARGARET
Last Name:FERSHTMAN
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:MARGARET
Other - Last Name:RAVENNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:319 CIRCLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-4108
Mailing Address - Country:US
Mailing Address - Phone:513-931-1577
Mailing Address - Fax:
Practice Address - Street 1:8650 GOVERNORS HILL DR STE 180
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-1399
Practice Address - Country:US
Practice Address - Phone:513-791-5766
Practice Address - Fax:513-683-1500
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-27
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-5972225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist