Individual
DIANA LYNN SOROSIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6030 CROSS TRAILS RD, SYLVANIA, OH 43560-1712
(419) 508-5933
Mailing address
6030 CROSS TRAILS RD, SYLVANIA, OH 43560-1712
(419) 508-5933
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0904057
OH
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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