Provider Demographics
NPI:1740312719
Name:CASE, DEBORAH ANN (EDD, ATP)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:ANN
Last Name:CASE
Suffix:
Gender:F
Credentials:EDD, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3324 AMELIAMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-1807
Mailing Address - Country:US
Mailing Address - Phone:513-533-1851
Mailing Address - Fax:513-533-0942
Practice Address - Street 1:3324 AMELIAMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-1807
Practice Address - Country:US
Practice Address - Phone:513-533-0941
Practice Address - Fax:513-533-0942
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY171W00000X
OH171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor