Individual
MARY RUTH CAROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
511 22ND ST NW, CANTON, OH 44709-3815
(330) 639-9569
Mailing address
511 22ND ST NW, CANTON, OH 44709-3815
(330) 639-9569
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT. 003392
OH
Other
Enumeration date
06/28/2013
Last updated
09/20/2023
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