Individual
PAIGE CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1634 11TH ST, PORTSMOUTH, OH 45662-4526
(740) 355-7102
Mailing address
1634 11TH ST, PORTSMOUTH, OH 45662-4526
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010952
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT010952
OH LICENSE
OH
Enumeration date
07/06/2020
Last updated
07/06/2020
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