Individual
MS. DENISE ELAINE CUPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 W PLEASANT ST, SPRINGFIELD, OH 45506-2278
(937) 325-7671
Mailing address
326 S STAFFORD ST, YELLOW SPRINGS, OH 45387-1725
(937) 831-6441
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5787
OH
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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