Individual
RONALD MICHAEL COBLENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5535 S WILLIAMSON BLVD, STE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
(866) 426-2811
Mailing address
2230 N PENNSYLVANIA ST, UNIT 2, INDIANAPOLIS, IN 46205-4369
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001929A
IN
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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