Individual
ERIC JAMES BOBILYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1126 EASTON TRAIL, FORT WAYNE, IN 46825
(260) 557-6226
Mailing address
1126 EASTON TRAIL, FORT WAYNE, IN 46825
(260) 557-6226
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001389A
IN
Other
Enumeration date
05/03/2007
Last updated
01/30/2014
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