Individual
JENNIFER GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 NORTHWEST AVE, TALLMADGE, OH 44278-1203
(234) 274-1888
Mailing address
100 NORTH AVE STE 103-141, TALLMADGE, OH 44278-1984
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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