Individual
INGRID ALICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
339 EAST MAPLE ST., NORTH CANTON, OH 44720
(330) 498-8239
Mailing address
339 EAST MAPLE ST., NORTH CANTON, OH 44720
(330) 498-8239
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA04431
OH
Other
Enumeration date
09/17/2010
Last updated
03/16/2011
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