Individual
MRS. MARY JANE BORON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
7233 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
6772 LUTZ AVE NW, MASSILLON, OH 44646-9341
(330) 880-4354
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-00558
OH
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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