Individual
CHRISTINE TIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2849 VAN AKEN BLVD APT 2, CLEVELAND, OH 44120-2253
(567) 278-2766
Mailing address
2849 VAN AKEN BLVD APT 2, CLEVELAND, OH 44120-2253
(567) 278-2766
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA011092
OH
2255A2300X
Athletic Trainer
Primary
AT0004234
OH
Other
Enumeration date
02/18/2020
Last updated
02/26/2020
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