Individual
CHRISTINE MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2517 MINERVA LAKE RD, COLUMBUS, OH 43231-4868
(330) 730-9754
Mailing address
2517 MINERVA LAKE RD, COLUMBUS, OH 43231-4868
(330) 730-9754
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP11465
OH
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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