Individual
MISS ELLERY CAITLIN MARTINKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1470 WARREN RD, LAKEWOOD, OH 44107-3918
(216) 529-4254
Mailing address
3201 RIVER RUN, AVON, OH 44011-4902
(419) 512-7555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SP-10578
OH
235Z00000X
Speech-Language Pathologist
Primary
SP10578
OH
Other
Enumeration date
09/04/2013
Last updated
08/19/2019
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