Individual
EMILY SOUTHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5509 N GLEN RD, CINCINNATI, OH 45248-4252
(513) 288-0557
Mailing address
5509 NORTH GLEN ROAD, CINCINNATI, OH 45248
(513) 288-0557
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007698
OH
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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