Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 006846 | OH |
NPI | 1265641294 |
---|---|
Provider Name | Mrs. N Christine Pasiuk |
First Address | Carrollton, OH 44615-9067 |
Second Address | Canton, OH 44708-2614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 08/07/2007 |