Individual
JACQUELINE EUBANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
70 N BROADWAY ST, AKRON, OH 44308-1911
(330) 761-1661
Mailing address
70 N BROADWAY ST, AKRON, OH 44308-1911
(330) 761-1661
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA01392
OH
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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