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Individual

MRS. JANET WISE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
150 N MILLER RD, 150A, FAIRLAWN, OH 44333-3770
(330) 630-1860
Mailing address
95 CENTER RD, NEW FRANKLIN, OH 44319-4958
(330) 882-4275

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-02807
OH

Other

Enumeration date
02/07/2014
Last updated
02/07/2014
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