Individual
JADEN STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
150 BROWNS RD, MARIETTA, OH 45750-9085
(740) 629-9791
Mailing address
150 BROWNS RD, MARIETTA, OH 45750-9085
(740) 629-9791
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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