Individual
MIRANDA WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
402 GOLFVIEW LN, HIGHLAND HEIGHTS, OH 44143-4414
(440) 443-0900
Mailing address
2771 OAK ST, WILLOUGHBY HILLS, OH 44094-9117
(440) 488-8570
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007479
OH
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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