Individual
MARIAM BOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
50 BAKER BLVD STE 4, FAIRLAWN, OH 44333-3635
(330) 801-4308
Mailing address
4778 BARN HILL DR, AKRON, OH 44333-1692
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT013024
OH
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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