Individual
LAURA JEAN UBIENSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
531 WASHINGTON AVE, RAVENNA, OH 44266-2440
(330) 297-4139
Mailing address
8798 COIT RD, RAVENNA, OH 44266-9712
(330) 780-7305
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007710
OH
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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