Individual
OLIVIA LEAH CIUPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2050 KENNY RD FL 3, COLUMBUS, OH 43221-3502
(614) 293-4969
(614) 293-6111
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-4969
(614) 293-6111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50008020RX
OH
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/03/2022
Last updated
02/13/2023
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