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Individual

EMILY KATHERINE CORNELIUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
1500 VILLA RD, SPRINGFIELD, OH 45503-1656
(937) 390-9000
Mailing address
619 NATHAN PL APT 311, DAYTON, OH 45409-2557
(330) 466-9831

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010228
OH

Other

Enumeration date
08/29/2018
Last updated
08/29/2018
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