Individual
MR. DANIEL LEE CHARLEBOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
820 E CENTER ST, BLANCHESTER, OH 45107-1310
(937) 783-4949
Mailing address
820 E CENTER ST, BLANCHESTER, OH 45107-1310
(937) 783-4949
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.04702
OH
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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