Individual
CHRIS ATWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5047 WORCHESTER DR, DAYTON, OH 45431-1137
(614) 749-8748
Mailing address
5047 WORCHESTER DR, DAYTON, OH 45431-1137
(614) 749-8748
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
GCW8541
OH
Other
Enumeration date
12/10/2020
Last updated
12/16/2020
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