Individual
ALISON WISWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 LEAR RD, AVON LAKE, OH 44012
(440) 930-7100
Mailing address
816 W MARTIN AVE, AMHERST, OH 44001-1364
(440) 935-7956
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
424864
OH
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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