Individual
LUCIA C CONGENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14950 S SPRINGDALE AVE, MIDDLEFIELD, OH 44062-9661
(440) 632-1007
(440) 574-7254
Mailing address
PO BOX 987, MIDDLEFIELD, OH 44062-0987
(440) 993-1004
(440) 574-7254
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011378
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT011378
STATE BOARD LICENSE NUMBER
OH
Enumeration date
03/26/2021
Last updated
03/26/2021
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