Individual
MARIETTA SUE WELLMAN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-8608
(740) 773-1141
Mailing address
21 N WALNUT ST, CHILLICOTHE, OH 45601-3115
(740) 773-1141
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1711
OH
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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