Individual
ELISCIA WISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5736 ANDOVER ST, WORTHINGTON, OH 43085-3730
(440) 821-9991
Mailing address
1212 EVERETT HULL RD, CORTLAND, OH 44410-9327
(440) 821-9991
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
01/20/2022
Last updated
12/01/2023
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