Organization
ADVANCED THERAPY OF OHIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE CANTRELL BUTCHER OTR/L (CEO)
(440) 821-0974
Entity
Organization
Contact information
Practice address
14318 BOSTON RD, STRONGSVILLE, OH 44136-8603
(440) 821-0974
(440) 638-4339
Mailing address
14318 BOSTON RD, STRONGSVILLE, OH 44136-8603
(440) 821-0974
(440) 638-4339
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
004200
OH
225XP0200X
Pediatric Occupational Therapist
OT 004200
OH
Other
Enumeration date
07/16/2009
Last updated
07/15/2010
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