Provider Demographics
NPI:1902941958
Name:MCENTYRE, LINDA (PT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:MCENTYRE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:MCENTYRE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 9273
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-0273
Mailing Address - Country:US
Mailing Address - Phone:513-687-1316
Mailing Address - Fax:513-687-1316
Practice Address - Street 1:4216 ROMAINE DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-1137
Practice Address - Country:US
Practice Address - Phone:513-687-1316
Practice Address - Fax:513-687-1316
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01884225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist