Individual
MISS KATHERINE CIESLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
12136 S PINE DR, #232, CINCINNATI, OH 45241-1697
(440) 823-5494
Mailing address
12136 S PINE DR, #232, CINCINNATI, OH 45241-1697
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3927
OH
Other
Enumeration date
05/29/2013
Last updated
05/09/2015
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