Individual
TIA L POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FIRST AID, CPR, FCCP
Contact information
Practice address
308 POINTVIEW AVE, DAYTON, OH 45405-2850
(937) 623-4813
Mailing address
308 POINTVIEW AVE, DAYTON, OH 45405-2850
(937) 623-4813
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
03/28/2025
Last updated
03/28/2025
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