Individual
JUDY MCCORKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10157 MAHONING AVE, NORTH JACKSON, OH 44451-9751
(330) 398-6222
Mailing address
PO BOX 134, 10157 MAHONING AVE, NORTH JACKSON, OH 44451-0134
(330) 398-6222
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005051
OH
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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