Individual
AUTUMN TRUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
953 S SOUTH ST, WILMINGTON, OH 45177-2921
(937) 383-4441
(937) 383-2916
Mailing address
975 KINGSVIEW DR, SUITE 400, LEBANON, OH 45036
(513) 228-7854
(513) 228-7848
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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