Individual
KIRSTAN LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5193 W BROAD ST, COLUMBUS, OH 43228-1691
(614) 599-5876
Mailing address
2010 NORTHWEST BLVD, COLUMBUS, OH 43212-1101
(614) 599-5876
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA012359
OH
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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