Individual
GINA LEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
789 STONEYBROOK TRL, FAIRBORN, OH 45324-6021
(937) 878-0262
Mailing address
789 STONEYBROOK TRL, FAIRBORN, OH 45324-6021
(937) 878-0262
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5639
OH
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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