Individual
KAITLIN LABILLOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 E MAIN ST, LEIPSIC, OH 45856-9326
(419) 943-2103
Mailing address
402 SOUTH AVE, PANDORA, OH 45877-9763
(419) 615-7576
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.05880
OH
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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