Individual
JAMIE CONGELIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
299 EDWARDS ST, YOUNGSTOWN, OH 44502-1504
(330) 743-1168
(330) 743-1616
Mailing address
6972 BARRINGTON DR, CANFIELD, OH 44406-7631
(330) 743-1168
(330) 743-1616
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04549
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078348
—
OH
Enumeration date
12/01/2010
Last updated
12/01/2010
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