Individual
JESSICA ROSE POTRAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4237 W 219TH ST, FAIRVIEW PARK, OH 44126-1811
(440) 454-4305
Mailing address
4237 W 219TH ST, FAIRVIEW PARK, OH 44126-1811
(440) 454-4305
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011372
OH
Other
Enumeration date
03/02/2021
Last updated
12/13/2023
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