Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT-010847 | OH |
NPI | 1043438906 |
---|---|
Provider Name | Christine M Sweeney |
First Address | Cincinnati, OH 45247-7961 |
Second Address | Cincinnati, OH 45241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 11/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000517513 | ANTHEM (01) | OH |
2765486 | (05) | OH |
415587 | WELLCARE (01) | OH |