Clifton Augustus Willoughby
Physical Therapy Assistant
6210 Cleves Warsaw Pike
Cincinnati
, Ohio 45233-4510
Clifton Augustus Willoughby
Physical Therapy Assistant
6210 Cleves Warsaw Pike
Cincinnati
, Ohio 45233-4510
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Clifton Augustus Willoughby
- 6210 Cleves Warsaw Pike
- Cincinnati, OH
- Zip : 45233-4512
- Phone :
Second Address
- Clifton Augustus Willoughby
- 6210 Cleves Warsaw Pike
- Cincinnati, OH
- Zip : 45233-4510
- Phone : (513) 309-2825
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA010757 | OH |
National Provider Identifier
| NPI | 1003370966 |
|---|---|
| Provider Name | Clifton Augustus Willoughby |
| First Address | Cincinnati, OH 45233-4512 |
| Second Address | Cincinnati, OH 45233-4510 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2019 |
| Last Update Date | 24/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.