Individual
GARY WAYNE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2200 S HARBORVIEW DR LOT 26, LAKESIDE MARBLEHEAD, OH 43440-2444
(419) 561-0847
Mailing address
2200 S HARBORVIEW DR LOT 26, LAKESIDE MARBLEHEAD, OH 43440-2444
(419) 561-0847
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002636
OH
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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