Individual
MARY J LALLATHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7235 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
5160 4TH ST NW, CANTON, OH 44708-3302
(330) 478-8525
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.02809
OH
Other
Enumeration date
05/16/2008
Last updated
06/03/2008
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