Individual
DARA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3537 12TH ST NW, CANTON, OH 44708-3818
(330) 455-5500
Mailing address
5490 APPLE RIDGE CIR, CLINTON, OH 44216-9610
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010344
OH
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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