Individual
LAUREN N SPONSELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
563 COLONY PARK DR, TALLMADGE, OH 44278-2859
(330) 630-9780
(330) 634-9560
Mailing address
7862 RAGLAN DR NE, WARREN, OH 44484-1437
(330) 984-8456
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3424
OH
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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