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Individual

SALLY ANN EASTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1390 KING TREE DRIVE, DAYTON, OH 45405
(937) 479-3711
Mailing address
536 UNGER AVE, ENGLEWOOD, OH 45322
(937) 832-3250

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
02070
OH

Other

Enumeration date
09/25/2009
Last updated
09/25/2009
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