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Individual

JUSTIN MICHAEL SHAWVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
9370 UNION CEMETERY RD, LOVELAND, OH 45140-9577
(513) 677-4900
Mailing address
8230 S PORT DR, WEST CHESTER, OH 45069-9238
(513) 518-1859

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA005713
OH

Other

Enumeration date
01/21/2019
Last updated
01/21/2019
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