Healthcare Provider Details

I. General information

NPI: 1689767956
Provider Name (Legal Business Name): DONALD JOSEPH CUTCHER ATR-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 GARSTON CT
GAHANNA OH
43230-1789
US

IV. Provider business mailing address

144 GARSTON CT
GAHANNA OH
43230-1789
US

V. Phone/Fax

Practice location:
  • Phone: 614-475-4478
  • Fax:
Mailing address:
  • Phone: 614-475-4478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: