# CITRAN OCCUPATIONAL HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619517612
- **Authorized official:** AMANDA INGOLD AT, ATC (PRACTICE MANAGER)
- **Authorized official phone:** (937) 340-6488

## Contact information

- **Practice address:** 7774 DAYTON SPRINGFIELD RD, FAIRBORN, OH 45324-1957
- **Practice address phone:** (937) 340-6488
- **Practice address fax:** (937) 340-6512
- **Mailing address:** 7774 DAYTON SPRINGFIELD RD, FAIRBORN, OH 45324-1957
- **Mailing address phone:** (937) 340-6488
- **Mailing address fax:** (937) 340-6512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/08/2020
- **Last updated:** 01/08/2020