Individual
MRS. ALICE ANN KORTYKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A-FAAA
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A00741
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202310
AUDIOLOGIST
OH
01
—
000000241762
AUDIOLOGIST- HEARING AID
OH
Enumeration date
03/08/2007
Last updated
02/22/2010
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