Individual
MINDY BRASDOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
14950 S. SPRINDALE AVE, MIDDLEFIELD, OH 44062-9644
(440) 632-1007
(440) 574-7254
Mailing address
PO BOX 987, MIDDLEFIELD, OH 44062-0987
(440) 993-1004
(440) 574-7254
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT01101
STATE LISENCE
OH
Enumeration date
07/23/2020
Last updated
07/23/2020
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