Individual
JACQUELINE THORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4255 NORTHFIELD RD, HIGHLAND HILLS, OH 44128-2811
(216) 292-9700
(216) 378-4613
Mailing address
4255 NORTHFIELD RD, HIGHLAND HILLS, OH 44128-2811
(216) 292-9700
(216) 378-4613
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.006172
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0028740
—
OH
Enumeration date
08/15/2011
Last updated
08/15/2011
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