Individual
REBEKKAH RETALLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1356 COOK RD, LEBANON, OH 45036-9658
(513) 507-1722
Mailing address
1356 COOK RD, LEBANON, OH 45036-9658
(513) 507-1722
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343800000X
Secured Medical Transport (VAN)
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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