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Individual

AMY CHISNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
70 S CLEVELAND AVE, WESTERVILLE, OH 43081
(614) 890-6555
Mailing address
4204 BENNINGTON CREEK LANE, GROVEPORT, OH 43125

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AT002780
OH

Other

Enumeration date
05/18/2007
Last updated
07/08/2007
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