Provider Demographics
NPI:1538362967
Name:MEANEY, EVA ANNA (PT)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:ANNA
Last Name:MEANEY
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 1:35157 QUARTERMANE CIR
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-2467
Mailing Address - Country:US
Mailing Address - Phone:440-349-1484
Mailing Address - Fax:
Practice Address - Street 1:35157 QUARTERMANE CIR
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2467
Practice Address - Country:US
Practice Address - Phone:440-349-1484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT 0023172251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics