Individual
MARY DENISE ELSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/R
Contact information
Practice address
3015 17TH ST NW, CANTON, OH 44708-6004
(330) 454-6508
Mailing address
1574 KING DR, UNIONTOWN, OH 44685-7726
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.000153
OH
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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