Individual
MATTHEW CLINIC DEANGELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
640 W MARKET ST, AKRON, OH 44303-1465
(330) 762-5425
Mailing address
640 W MARKET ST, AKRON, OH 44303-1465
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA006657
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA006657
OTA
OH
Enumeration date
04/12/2018
Last updated
04/12/2018
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