Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 013117 | OH |
NPI | 1003231630 |
---|---|
Provider Name | Miss Christine Mcelfresh |
First Address | Ontario, OH 44906-2565 |
Second Address | Ontario, OH 44906-2565 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2014 |
Last Update Date | 28/04/2017 |