Individual
MRS. LAURA JANE PLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
15675 MAPLE DRIVE, EAST LIVERPOOL, OH 43920
(330) 303-6543
Mailing address
15675 MAPLE DR, EAST LIVERPOOL, OH 43920-9630
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.04925
OH
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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