Organization
ENLIGHTENED THERAPY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH ANN O'CONNELL D.O. (PRESIDENT)
(937) 278-1779
Entity
Organization
Contact information
Practice address
2510 COMMONS BLVD, SUITE 240, BEAVERCREEK, OH 45431-3809
(937) 429-8620
(937) 429-8629
Mailing address
77 E WOODBURY DR, SUITE 106, DAYTON, OH 45415-2855
(937) 278-1779
(937) 278-4197
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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