Healthcare Provider Details

I. General information

NPI: 1972787323
Provider Name (Legal Business Name): CHRISTINE M GIESTING COF
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINE M GIESTING COF

II. Dates (important events)

Enumeration Date: 12/20/2007
Last Update Date: 02/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 SUNBURY RD SUITE #10
DELAWARE OH
43015-8692
US

IV. Provider business mailing address

560 SUNBURY RD SUITE #10
DELAWARE OH
43015-8692
US

V. Phone/Fax

Practice location:
  • Phone: 740-362-3100
  • Fax: 740-362-3100
Mailing address:
  • Phone: 740-362-3100
  • Fax: 740-362-3100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: