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Individual

FARZANEH MADER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
25 W PLEASANT ST, SPRINGFIELD, OH 45506-2278
(937) 325-7671
Mailing address
1761 SOUTHVIEW DR, YELLOW SPRINGS, OH 45387-1239

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 428
OH

Other

Enumeration date
11/04/2014
Last updated
11/04/2014
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