Provider Demographics
NPI:1447209556
Name:ARON, MIRIAM RITA (PT)
Entity type:Individual
Prefix:MRS
First Name:MIRIAM
Middle Name:RITA
Last Name:ARON
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 1:4811 SOUTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-2102
Mailing Address - Country:US
Mailing Address - Phone:330-788-9677
Mailing Address - Fax:330-788-9677
Practice Address - Street 1:701 SHARON RD
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-3147
Practice Address - Country:US
Practice Address - Phone:724-775-8665
Practice Address - Fax:724-775-8669
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1636174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist