Individual
MRS. CHRISTINE BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
5030 POLEN DR, KETTERING, OH 45440-2442
(937) 499-1830
Mailing address
5030 POLEN DR, KETTERING, OH 45440-2442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-7924
OH
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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