Individual
JAMES FAZEKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 N MECCA ST, CORTLAND, OH 44410-1074
(330) 638-2420
Mailing address
130 ONYX PL, CORTLAND, OH 44410-1904
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04826
OH
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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