Individual
MRS. PAMELA JEAN NIZIALEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
800 MARKET AVE N, CANTON, OH 44702-1083
(330) 430-2119
Mailing address
3605 BRIARDALE DR NW, MASSILLON, OH 44646-2815
(330) 830-1493
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-01112
OH
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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