Provider Demographics
NPI:1720056856
Name:PAUL, JAMES M (PT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:PAUL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4105 WOODMONT DR
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:OH
Mailing Address - Zip Code:45103-2567
Mailing Address - Country:US
Mailing Address - Phone:513-753-6208
Mailing Address - Fax:
Practice Address - Street 1:7695 BEECHMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4216
Practice Address - Country:US
Practice Address - Phone:513-232-1847
Practice Address - Fax:513-232-2491
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH8587225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist