Individual
DR. THERESA MHANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DAOM, OM, LAC
Contact information
Practice address
3907 GRAND AVE, MIDDLETOWN, OH 45044-6123
(513) 329-5793
Mailing address
3907 GRAND AVE, MIDDLETOWN, OH 45044-6123
(513) 329-5793
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
65.000239
OH
171100000X
Acupuncturist
Primary
66.000032
OH
171100000X
Acupuncturist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396179966
—
OH
01
—
460585977-00
BWC
OH
Enumeration date
08/30/2013
Last updated
01/06/2022
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