Individual
MRS. MOTRIA MARIA STACHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5520 BROADVIEW RD FRNT, PARMA, OH 44134-1605
(216) 749-6650
(216) 749-1655
Mailing address
5143 WILTSHIRE RD, N ROYALTON, OH 44133-6555
(440) 237-4222
(216) 901-2803
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004641
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11665070
CAQH
OH
05
—
3158489
—
OH
Enumeration date
08/02/2006
Last updated
11/06/2019
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