Individual
LISA HARASIMCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
175 AVON BELDEN RD, AVON LAKE, OH 44012-1600
(440) 933-4829
Mailing address
2476 NOTTINGHAM DR, PARMA, OH 44134-5442
(440) 554-7479
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 02972
OH
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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