Individual
BARBARA HOLLEY PROFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3507 HAMPTON PL, MIDDLETOWN, OH 45042-3619
(513) 314-4333
Mailing address
3507 HAMPTON PL, MIDDLETOWN, OH 45042-3619
(513) 314-4333
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0325336
—
OH
Enumeration date
11/17/2020
Last updated
11/17/2020
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