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Individual

JANINE SHUPE TELISCHAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
5700 LOMBARDO CTR, 205, SEVEN HILLS, OH 44131-2540
(216) 447-1149
Mailing address
8436 N BLUFF DR, BROADVIEW HEIGHTS, OH 44147-3401
(440) 230-1251

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
233
OH

Other

Enumeration date
07/03/2006
Last updated
07/08/2007
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