Individual
PARIS ANDRE'A LACELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2003 W 4TH ST STE 205, ONTARIO, OH 44906-1874
(567) 307-6008
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT012117
OH
225XP0200X
Pediatric Occupational Therapist
Primary
OT012117
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001468
—
OH
Enumeration date
09/13/2018
Last updated
04/11/2025
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