Individual
ALYSSA MINICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
10600 PECK RD, MANTUA, OH 44255-9505
(330) 221-7634
Mailing address
8245 PECK RD, RAVENNA, OH 44266-9772
(330) 221-7634
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011222
OH
Other
Enumeration date
11/03/2020
Last updated
01/06/2025
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