Individual
JESSICA C BUSKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7235 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
5589 S RIDGE RD W, GENEVA, OH 44041-9376
(440) 466-1714
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.03302
OH
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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