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Individual

JULIA L KUMANCHIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
829 YELLOW SPRINGS FAIRFIELD RD, FAIRBORN, OH 45324-7675
(937) 878-7046
Mailing address
314 CARPENTER DR, FAIRBORN, OH 45324-4114
(937) 623-9247

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
06335
OH

Other

Enumeration date
01/04/2023
Last updated
01/04/2023
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