Organization
CATALYST FARM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN PELLAND OTR/L (OCCUPATIONAL THERAPIST, OWNER)
(234) 206-0815
Entity
Organization
Contact information
Practice address
1021 RIDGEWOOD RD, WADSWORTH, OH 44281
(234) 206-0815
Mailing address
1021 RIDGEWOOD RD, WADSWORTH, OH 44281-9711
(234) 206-0815
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/29/2017
Last updated
06/19/2018
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