Individual
MICHELLE STAWIARSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20311 PEMBERVILLE RD, PEMBERVILLE, OH 43450-9413
(419) 923-9078
Mailing address
35 TRAFALGAR BND, BOWLING GREEN, OH 43402-9380
(419) 308-1824
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.06218
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA.06218
OHIO OTPTAT BOARD
OH
Enumeration date
11/22/2022
Last updated
11/22/2022
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