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Individual

KATHLEEN AVILA-JOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPMT

Contact information

Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
24000028
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0295409
OH
Enumeration date
06/15/2017
Last updated
07/26/2024
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