Provider Demographics
NPI:1104883065
Name:SEMAN, DEBRA L (PT)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:L
Last Name:SEMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 SMITH RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-2787
Mailing Address - Country:US
Mailing Address - Phone:513-619-6885
Mailing Address - Fax:513-533-6001
Practice Address - Street 1:540 LINCOLN PARK BLVD
Practice Address - Street 2:SUITE 350
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-6401
Practice Address - Country:US
Practice Address - Phone:937-312-8100
Practice Address - Fax:937-312-8101
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-07567208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2511376Medicaid
OH4141181Medicare PIN
OH2511376Medicaid