Individual
TABITHA DORNAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3457 VINE ST, CINCINNATI, OH 45220-1332
(513) 282-5591
(513) 954-4670
Mailing address
3457 VINE ST, CINCINNATI, OH 45220-1332
(513) 282-5591
(513) 954-4670
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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