Individual
ANNA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2141 W PROSPECT RD, ASHTABULA, OH 44004-6439
(440) 998-7505
Mailing address
4865 AUSTIN RD, GENEVA, OH 44041-7104
(440) 415-5089
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA006631
OH
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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