Individual
JUDITH LAPORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
523 ANSONIA ST, OREGON, OH 43616-2703
(419) 691-6486
Mailing address
523 ANSONIA ST, OREGON, OH 43616-2703
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA406
OH
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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