Individual
KAREN LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2417 CHARLESTOWN AVE, TOLEDO, OH 43613-4424
(419) 474-1864
Mailing address
2417 CHARLESTOWN AVE, TOLEDO, OH 43613-4424
(419) 474-1864
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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