Individual
JENNIFER STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
105 WASGINTON AVE., ST. BERNARD, OH 45217
(513) 482-7121
Mailing address
105 WASHINGTON AVE, CINCINNATI, OH 45217-1317
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OTA-3101
OH
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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