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Individual

MR. HARRY TSHIFHIWA MATHIVHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
985 E MARIETTA RD NW, MC CONNELSVILLE, OH 43756-9768
(740) 962-2152
Mailing address
103 ARBORGATE DR, MARIETTA, OH 45750-9224
(740) 374-5049
(740) 374-5049

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT. 003354
OH

Other

Enumeration date
06/04/2006
Last updated
06/03/2008
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