Individual
BETHANY JOY CHANNELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1464 INDUSTRY RD, ATWATER, OH 44201-9349
(330) 947-2153
Mailing address
9545 SHADY OAKS ST NW, CLINTON, OH 44216-9551
(330) 571-2392
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007639
OH
Other
Enumeration date
09/19/2020
Last updated
09/19/2020
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