Individual
MRS. TERRI SUE FETTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1290 FAIRCHILD AVE, KENT, OH 44240-1814
(330) 678-4912
(330) 968-4944
Mailing address
1290 FAIRCHILD AVE, KENT, OH 44240-1814
(330) 678-4912
(330) 968-4944
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-719
OH
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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