Individual
BREANNA DEPEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
733 MARKET AVE S, CANTON, OH 44702-2165
(216) 904-4953
Mailing address
733 MARKET AVE S, CANTON, OH 44702-2165
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6280
OH
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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