Individual
MS. VISAR DUANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4980 CORKWOOD DR, N ROYALTON, OH 44133-3157
(440) 781-8136
(440) 237-1451
Mailing address
4980 CORKWOOD DR, N ROYALTON, OH 44133-3157
(440) 781-8136
(440) 237-1451
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005808
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005808
OT #
OH
05
—
2828373
—
OH
Enumeration date
05/27/2006
Last updated
01/05/2009
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