Individual
MICHELE L TILSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4760 BELPAR ST NW, CANTON, OH 44718-3603
(330) 244-1001
(330) 492-6150
Mailing address
23825 COMMERCE PARK, SUITE B, BEACHWOOD, OH 44122-5837
(216) 292-6363
(216) 292-6306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3592
OH
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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