Individual
MRS. MARTHA BECK PHILIPPON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1600 CRIDER RD, MANSFIELD, OH 44903-9268
(419) 589-7611
(419) 612-7907
Mailing address
3514 EVERGREEN DR, WOOSTER, OH 44691-9062
(330) 264-8241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 005267
OH
Other
Enumeration date
06/23/2007
Last updated
07/08/2007
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