Individual
DR. ALEXIS NICOLE CAROLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
45 ST LAWRENCE DR, TIFFIN, OH 44883-8310
(419) 455-7000
Mailing address
1316 MULBERRY RUN, MINERAL RIDGE, OH 44440-9433
(330) 219-9685
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT012686
OH
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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