Individual
MIRANDA ULREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6506 STATE ROUTE 229, MARENGO, OH 43334-9738
(419) 768-2206
Mailing address
7326 STATE ROUTE 19 UNIT 2614, MOUNT GILEAD, OH 43338-9481
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.008750
OH
Other
Enumeration date
09/01/2014
Last updated
09/01/2014
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