Individual
MRS. RITA GAIL BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2714 13TH ST NW, CANTON, OH 44708-3121
(330) 456-2842
(330) 456-5343
Mailing address
2223 21ST ST NE, CANTON, OH 44705-2331
(330) 453-2652
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.02681
OH
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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