Individual
AUTUMN TEETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2281 VILLAGE MALL DR UNIT 2, ONTARIO, OH 44906-1153
(614) 884-3800
Mailing address
445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 43085-3192
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2615030
—
OH
Enumeration date
01/27/2023
Last updated
01/27/2023
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