Organization
IGNITE THERAPY SOLUTIONS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JACQUELINE DEATON BCBA (OWNER/EXECUTIVE DIRECTOR)
(937) 725-4150
Entity
Organization
Contact information
Practice address
1321 TODDS FORK RD, WILMINGTON, OH 45177-9269
(937) 725-4150
Mailing address
1321 TODDS FORK RD, WILMINGTON, OH 45177-9269
(937) 725-4150
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT009717
OH
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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