Individual
EILEEN VANTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7030 COFFMAN RD, DUBLIN, OH 43017
(614) 764-5963
Mailing address
7030 COFFMAN RD, DUBLIN, OH 43017
(614) 764-5963
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 6530
OH
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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