Individual
CHRISTINA THEODORE-OKLOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
275 W. SCHROCK RD, WESTERVILLE, OH 43081
(614) 355-8230
(614) 355-8231
Mailing address
PO BOX 715194, COLUMBUS, OH 43271-5194
(614) 355-8004
(614) 355-0509
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08258
—
OH
Enumeration date
09/28/2009
Last updated
12/28/2011
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