Provider Demographics
NPI:1467262956
Name:CIAMPONE, THERESA LORRAINE
Entity type:Individual
Prefix:
First Name:THERESA
Middle Name:LORRAINE
Last Name:CIAMPONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8207 LITTLE HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45244-2766
Mailing Address - Country:US
Mailing Address - Phone:513-607-1734
Mailing Address - Fax:
Practice Address - Street 1:8207 LITTLE HARBOR DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45244-2766
Practice Address - Country:US
Practice Address - Phone:513-607-1734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care