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Organization

LAKE ERIE HAND THERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE MIRABELL MS, OT/L (PRESIDENT)
(440) 536-2339
Entity
Organization

Contact information

Practice address
1956 W PROSPECT RD, ASHTABULA, OH 44004-6424
(440) 536-2339
(440) 964-8805
Mailing address
1320 WILLOW DR, ASHTABULA, OH 44004-2053

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
4347
OH

Other

Enumeration date
05/21/2009
Last updated
05/21/2009
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