Individual
LAURA ANN EICKHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5790 DENLINGER RD, DAYTON, OH 45426-1838
(937) 529-2408
Mailing address
1856 TOWNE PARK DR, APT 2B, TROY, OH 45373-8330
(419) 615-9736
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
03759
OH
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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