Individual
LINDA MAY SURACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
5520 BROADVIEW RD, PARMA, OH 44134-1605
(216) 749-4010
Mailing address
6501 ANDERSON AVE, INDEPENDENCE, OH 44131-3345
(216) 524-9519
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA02974
OH
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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