Individual
LISA CLOSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
952 LAWRENCE RD, HARROD, OH 45850-9436
(567) 204-8893
Mailing address
952 LAWRENCE RD, HARROD, OH 45850-9436
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 02745
OH
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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