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Individual

MARY DEVITO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
4381 TONAWANDA TRL, BEAVERCREEK, OH 45430-1961
(937) 426-5033
Mailing address
1100 SHAWNEE RD, LIMA, OH 45805-3529
(419) 999-2010
(419) 999-6284

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009081
OH

Other

Enumeration date
10/31/2017
Last updated
11/12/2022
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