Most Relevant Information
Provider Data
| NPI Number: | 1003494998 |
| Provider Name: | DONNIECE KOONTZ |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/31/2021 |
| Last Updated: | 03/31/2021 |
Provider Practice Location
6300 N MAIN ST
DAYTON
OH
454153154
Practice Location Phone/Fax
| Phone: | 9372751500 |
| Fax: |
Provider Mailing Location
6300 N MAIN ST
DAYTON
OH
454153154
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |