Individual
JESSINA LAROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2913 S REPUBLIC BLVD, TOLEDO, OH 43615-1911
(419) 476-7859
Mailing address
2913 S REPUBLIC BLVD, TOLEDO, OH 43615-1911
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
03142
OH
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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