Individual
MARTHA JANE FROMBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
421 MISSION LN, FRANKLIN, OH 45005-2327
(937) 746-3943
Mailing address
217 S BROMFIELD RD, KETTERING, OH 45429-2752
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA003387
OH
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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