Individual
MS. JENNIFER MARIA YARIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
563 BROOKFIELD AVE, MASURY, OH 44438-1050
(330) 448-0782
Mailing address
5150 CASSADY RD, HERMITAGE, PA 16148-6507
(724) 962-0709
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2465
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2465
STATE LICENSE NUMBER
OH
Enumeration date
06/27/2007
Last updated
07/08/2007
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