Individual
JOAN E TRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
10 WILMINGTON AVE # 10, DAYTON, OH 45420-1877
(937) 258-2196
Mailing address
1325 CHURCHILL HUBBARD RD, YOUNGSTOWN, OH 44505-1346
(330) 759-5904
(330) 759-8709
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005476
OH
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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