Individual
TETYANA M CHRISTISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3431 COVENANT RD, APT P5, COLUMBIA, SC 29204-4279
(803) 233-1388
Mailing address
3431 COVENANT RD, APT P5, COLUMBIA, SC 29204-4279
(803) 233-1388
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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