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Individual

JAIMI GEREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1104 WESLEY AVE, BRYAN, OH 43506-2579
(419) 636-5071
Mailing address
11964 COUNTY ROAD K, MONTPELIER, OH 43543-9794

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
32002475A
IN
224Z00000X
Occupational Therapy Assistant
Primary
OTA.05396
OH

Other

Enumeration date
12/31/2013
Last updated
12/31/2013
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