Individual
HILLARY DETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
35622 US HIGHWAY 50, LONDONDERRY, OH 45647-9763
(740) 649-9174
Mailing address
35622 US HIGHWAY 50, LONDONDERRY, OH 45647-9763
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
05879
OH
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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