Individual
HEIDI JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
15655 STATE ROUTE 170, EAST LIVERPOOL, OH 43920-9069
(330) 386-2054
(330) 386-2679
Mailing address
425 W 5TH ST, EAST LIVERPOOL, OH 43920-2405
(330) 386-2054
(330) 386-2679
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003473
OH
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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