Individual
YUMIKO CHONGSIRIWATANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6660 DOUBLETREE AVE, COLUMBUS, OH 43229-1128
(614) 844-5433
(614) 987-8643
Mailing address
2 VILLAGE SQ STE 210, BALTIMORE, MD 21210-1624
(614) 844-5433
(614) 987-8643
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-4396
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OT-4396
—
OH
Enumeration date
09/16/2022
Last updated
03/22/2024
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