Individual
MISS ELEANOR JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1900 E MAIN ST, LANCASTER, OH 43130-9302
(740) 681-1083
Mailing address
726 MADISON AVE, LANCASTER, OH 43130-2613
(740) 407-1096
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA006239
OH
Other
Enumeration date
05/06/2018
Last updated
05/06/2018
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