Individual
MR. CHRISTOPHER JOHN SMOLKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
7230 MENTOR AVE, MENTOR, OH 44060-7522
(440) 946-5858
(440) 918-4870
Mailing address
7230 MENTOR AVE, MENTOR, OH 44060-7522
(440) 946-5858
(440) 918-4870
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010069
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010069
STATE OF OHIO LICENSE #
OH
01
—
20-0715484
TAX IDENTIFICATION NUMBER
OH
Enumeration date
10/11/2006
Last updated
11/09/2012
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