Provider Demographics
NPI:1790821551
Name:CSISZAR, BETH HELENA (ATC)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:HELENA
Last Name:CSISZAR
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3767 PARADISE RD
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-7405
Mailing Address - Country:US
Mailing Address - Phone:330-725-7624
Mailing Address - Fax:330-725-7624
Practice Address - Street 1:3767 PARADISE RD
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-7405
Practice Address - Country:US
Practice Address - Phone:330-725-7624
Practice Address - Fax:330-725-7624
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT-13402255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer