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Individual

MARIAH DOLBOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
87 IH 10 N STE 225, BEAUMONT, TX 77707-2549
(409) 835-0228
Mailing address
921 HUDSON RD, KENT, OH 44240-2111
(330) 554-8226

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
05959
OH
224Z00000X
Occupational Therapy Assistant
Primary
213974
TX

Other

Enumeration date
09/14/2016
Last updated
09/14/2016
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