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Individual

SARAH LAUX MACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
205 W COOK RD, MANSFIELD, OH 44907-2405
(419) 545-6374
Mailing address
205 W COOK RD, MANSFIELD, OH 44907-2405

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009991
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2887587
OH
Enumeration date
08/30/2018
Last updated
03/06/2020
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