Individual
SAM ROSS PLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 CRIDER RD, MANSFIELD, OH 44903-9268
(419) 589-7611
Mailing address
1600 CRIDER RD, MANSFIELD, OH 44903-8524
(419) 589-7611
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007100
OH
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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