Individual
JESSICA ZACIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3309 N GENOA CLAY CENTER RD, GENOA, OH 43430-9736
(419) 704-3940
Mailing address
3309 N GENOA CLAY CENTER RD, GENOA, OH 43430-9736
(419) 704-3940
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.03977
OH
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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