Individual
MRS. ALISHA MATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2801 E ROYALTON RD, BROADVIEW HEIGHTS, OH 44147-2827
(440) 526-4770
Mailing address
14060 PINE FOREST DR APT 102, NORTH ROYALTON, OH 44133-5021
(937) 638-7771
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006747
OH
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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