Individual
KATIE JO GREATHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
485 MOXIE LN, DELPHOS, OH 45833-9182
(419) 692-3405
(419) 692-3400
Mailing address
485 MOXIE LN, DELPHOS, OH 45833-9182
(419) 692-3400
(419) 692-3400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.007095
OH
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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