Individual
DEBRA LYNN OBORCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1021 W POE RD, BOWLING GREEN, OH 43402-9362
(419) 352-4694
Mailing address
1100 SHAWNEE RD, LIMA, OH 45805-3529
(419) 999-2010
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003444
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609899061
CORPORATE NPI
—
05
—
2526654
—
OH
Enumeration date
04/06/2009
Last updated
07/09/2021
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