Basic Information
| Provider Information | |||||||||
| NPI: | 1033424726 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BUEHLER | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | COTA/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3800 SUMMIT GLEN RD | ||||||||
| Address2: | |||||||||
| City: | DAYTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454493647 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9374362273 | ||||||||
| FaxNumber: | 9374364771 | ||||||||
| Practice Location | |||||||||
| Address1: | 3800 SUMMIT GLEN RD | ||||||||
| Address2: | |||||||||
| City: | DAYTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 454493647 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9374362273 | ||||||||
| FaxNumber: | 9374364771 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2010 | ||||||||
| LastUpdateDate: | 08/18/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 224Z00000X | OTA.04452 | OH | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant |
No ID Information.