Individual
JENNIFER LUYSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
49675 BLAIRMONT RD, ADENA, OH 43901-9607
(740) 546-2006
Mailing address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002866
OH
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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