Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 4087 | OH |
NPI | 1174730865 |
---|---|
Provider Name | Dr. Renee Gaines Loftspring |
First Address | Cincinnati, OH 45233-1669 |
Second Address | Cincinnati, OH 45233-1669 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2007 |
Last Update Date | 08/07/2007 |