Individual
JAYNITA PRANAV PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2317 E HOME RD, SPRINGFIELD, OH 45503-2520
(937) 399-9217
Mailing address
1433 BAREBACK TRL, BEAVERCREEK, OH 45434-5619
(937) 399-9217
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA. 04258
OH
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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