Individual
TONYA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2615 DERR RD, SPRINGFIELD, OH 45503-2445
(937) 390-0005
Mailing address
2615 DERR RD, SPRINGFIELD, OH 45503-2445
(937) 390-0005
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT-4414
OH
Other
Enumeration date
10/21/2008
Last updated
06/12/2020
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