Individual
MRS. CYNTHIA ANN CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
270 STERKEL BLVD, MANSFIELD, OH 44907-2207
(419) 756-1133
(419) 756-6544
Mailing address
500 CLIFTON BLVD, MANSFIELD, OH 44907
(419) 756-5375
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 02865
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000125368
ANTHEM
—
01
—
3407897499238
ANTHEM
—
Enumeration date
09/20/2006
Last updated
07/08/2007
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