Individual
MARY WARNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L, CDP
Contact information
Practice address
1610 28TH ST, PORTSMOUTH, OH 45662-2641
(740) 351-2307
Mailing address
1610 28TH ST, PORTSMOUTH, OH 45662-2641
(740) 351-2307
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007864
OH
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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