Individual
BLYTHE ISENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 GLENGARRY DR, KETTERING, OH 45420-1227
(937) 499-1582
Mailing address
3000 GLENGARRY DR, KETTERING, OH 45420-1227
(937) 499-1582
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03430
OH
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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