Individual
BETH V GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7235 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
1672 BROADWAY AVE NE, EAST CANTON, OH 44730-1708
(330) 488-3226
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.00821
OH
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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