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NPI Code Detail

MEDICARE: CHRISTINE MICHALEK PTA

MEDICARE: CHRISTINE MICHALEK PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant10685OH

General Provider Information

NPI Number : 1093288441
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE MICHALEK PTA
Provider Business Mailing Address
First Line : 662 PARK ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-1669
Country : US
Telephone Number : 513-477-4360
Fax Number :
Provider Business Practice Location Address
First Line : 717 NEIL AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-1609
Country : US
Telephone Number : 513-477-4360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2019
Last Update Date : 07/09/2019

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Directions to “ CHRISTINE MICHALEK PTA” Practice Location

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