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Individual

MS. CHRISTINE DIANE DONALDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
16915 DETROIT AVE, LAKEWOOD, OH 44107-3620
(216) 227-2610
(216) 227-2614
Mailing address
16915 DETROIT AVE, LAKEWOOD, OH 44107-3620
(216) 227-2610
(216) 227-2614

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04366
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04366
PHYSICAL THERAPY LICENSE NUMBER
OH
Enumeration date
04/17/2014
Last updated
04/17/2014
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