Individual
MARY E TOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8200
Mailing address
505 E 33RD ST, ERIE, PA 16504-1640
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009608
PA
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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