Individual
JANET MCCUTCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY PLZ, YOUNGSTOWN, OH 44555-0001
(330) 941-1927
Mailing address
4733 DOUGLAS RD, DOWNERS GROVE, IL 60515-3815
(215) 630-0123
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA05843
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13557287
CAQH
—
Enumeration date
05/18/2015
Last updated
05/18/2015
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