Individual
TIA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1645 RICHMOND AVE # B, COLUMBUS, OH 43203-1729
(614) 571-9775
Mailing address
PO BOX 9802, COLUMBUS, OH 43209-0802
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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