Individual
ANNETTE RAE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
305 MCKINLEY AVE NW, CANTON, OH 44702-1717
(330) 438-2500
Mailing address
305 MCKINLEY AVE NW, CANTON, OH 44702-1717
(330) 438-2500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.01371
OH
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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