Individual
JOHANNA FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 5TH ST NE, BARBERTON, OH 44203-3332
(330) 615-3333
Mailing address
6210 CONSTANCE CIR NW, CANTON, OH 44718-1051
(610) 715-4619
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT009140
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
05/02/2020
Last updated
12/05/2023
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