Individual
JOHANNAH ILLEEN GABBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(703) 575-8129
Mailing address
5226 HUNTER AVE, CINCINNATI, OH 45212-1425
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.13490
OH
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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