Individual
MR. MICHAEL DEGASPERIS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
654 IVY LN, MARTINS FERRY, OH 43935-2204
(740) 310-7291
Mailing address
654 IVY LANE, MARTINS FERRY, OH 43935
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1958
WV
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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