Individual
ALLISON DORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1600 CRIDER RD, MANSFIELD, OH 44903-9268
(419) 589-7611
Mailing address
673 PARK AVE, GALION, OH 44833-1243
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.05118
OH
Other
Enumeration date
01/12/2014
Last updated
01/12/2014
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