IndividualActive
Amy Detrick
NPI 1265036982 · Developmental Disabilities Clinic/Center · Fairborn, OH
Provider details
- NPI number
- 1265036982
- Entity type
- Individual
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
421 Kirkwood Dr
Fairborn, OH 45324-4429
Phone: (770) 878-7179
Approximate (ZIP-level) locationGet directions
Mailing address
421 Kirkwood Dr
Fairborn, OH 45324-4429
Registry dates
- Enumerated
- 2020-11-23
- Last updated
- 2020-11-23
- Certified
- 2020-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.