Individual
MRS. MARY BELLE REDMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
850 W POE RD, BOWLING GREEN, OH 43402-1219
(419) 352-7558
(419) 354-9501
Mailing address
850 W POE RD, BOWLING GREEN, OH 43402-1219
(419) 352-7558
(419) 354-9501
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OTA02657
OH
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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