Most Relevant Information
Provider Data
| NPI Number: | 1003524810 |
| Provider Name: | KRISTIN DITTEBRAND |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/10/2022 |
| Last Updated: | 11/10/2022 |
Provider Practice Location
3218 STATE ROUTE 82 LOT 228
MANTUA
OH
442559339
Practice Location Phone/Fax
| Phone: | 4403412331 |
| Fax: |
Provider Mailing Location
3218 STATE ROUTE 82 LOT 228
MANTUA
OH
442559339
Provider Mailing Phone/Fax
| Phone: | 4403412331 |
| Fax: |