Individual
THERESA BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7235 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-5130
Mailing address
628 HOUSEL CRAFT RD, CORTLAND, OH 44410-9569
(330) 719-4502
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.02568
OH
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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