Individual
ERIN BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8646 OAK GROVE RD, LEESBURG, OH 45135-9004
(937) 402-0914
Mailing address
8646 OAK GROVE RD, LEESBURG, OH 45135-9004
(937) 402-0914
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005900
OH
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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