Individual
ERIC OBRYNBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
97 ASTRO WAY, SABINA, OH 45169-9521
(937) 584-2461
Mailing address
1879 DEERFIELD RD, LEBANON, OH 45036-8602
(513) 695-2900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
COND2018902-SP
—
OH
Enumeration date
10/23/2018
Last updated
01/06/2020
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