Individual
BRIAN LAUBENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1400 E 2ND ST, DEFIANCE, OH 43512-2440
(419) 783-3309
Mailing address
PO BOX 39, GLANDORF, OH 45848-0039
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006544
OH
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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