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Organization
OCCUPATIONAL PEDIATRIC THERAPY SERVICES
Active
Organization
OCCUPATIONAL PEDIATRIC THERAPY SERVICES
Active
Other names
Whole Child Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BRECKENRIDGE (SECRETARY/TREASURER)
(330) 688-5555
Entity
Organization
Contact information
Practice address
1533 COMMERCE DR, STOW, OH 44224-1711
(330) 688-5555
(330) 688-9186
Mailing address
1533 COMMERCE DR, STOW, OH 44224-1711
(330) 688-5555
(330) 688-9186
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
200316703282
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2585386
—
OH
Enumeration date
05/23/2006
Last updated
07/30/2007
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