Individual
TRISHA VASSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RA
Contact information
Practice address
511 PERRY ST, DEFIANCE, OH 43512-2123
(419) 782-9920
(419) 784-2523
Mailing address
511 PERRY ST, DEFIANCE, OH 43512-2123
(419) 782-9920
(419) 784-2523
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
RA163226
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RA163226
STATE OF OHIO
OH
Enumeration date
09/12/2022
Last updated
09/12/2022
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