Individual
LISA BOCKRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1570 N PERRY ST LOT 17A, OTTAWA, OH 45875-1131
(419) 615-0834
Mailing address
1570 N PERRY ST LOT 17A, OTTAWA, OH 45875-1131
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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