Individual
MANDI PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
8745 BLACKBIRD LN, THORNVILLE, OH 43076-9515
(740) 246-5483
(740) 246-6480
Mailing address
104 SYCAMORE WAY, THORNVILLE, OH 43076-8001
(740) 246-5723
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5099
OH
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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