Individual
LAUREN WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
N HIGH ST, CORTLAND, OH 44410
(330) 735-6553
Mailing address
4692 VERONA ST NW, WARREN, OH 44483-1739
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA006840
OH
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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