Individual
DEANDRA DEMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7620 SOUTHERN BLVD, SUITE 3, BOARDMAN, OH 44512-5667
(330) 965-9330
(330) 965-9308
Mailing address
7620 SOUTHERN BLVD, SUITE 3, BOARDMAN, OH 44512-5667
(330) 965-9330
(330) 965-9308
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT04982
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000208504
ANTHEM
OH
01
—
34181049501
BWC
OH
Enumeration date
07/03/2006
Last updated
03/10/2009
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