Individual
MARY LYNN WIESMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1350 W NORTH BEND RD, CINCINNATI PUBLIC SCHOOLS, CINCINNATI, OH 45224-2606
(513) 363-4343
Mailing address
PO BOX 5381, CINCINNATI PUBLIC SCHOOLS, CINCINNATI, OH 45201-5381
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3332
OH
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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