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Individual

AMANDA MOYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
9130 SHEPARD RD, MACEDONIA, OH 44056-1452
(216) 906-5269
Mailing address
296 PARKWAY DR, EASTLAKE, OH 44095-1417
(216) 906-5269

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008199
OH

Other

Enumeration date
02/13/2023
Last updated
02/13/2023
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