Individual
MR. BRIAN WILLIAM MACNAUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT/L
Contact information
Practice address
3682 E CENTER ST, POST OFFICE BOX 418, CONNEAUT, OH 44030-3330
(440) 224-1909
Mailing address
3682 EAST CENTER STREET, POST OFFICE BOX 418, NORTH KINGSVILLE, OH 44068
(440) 224-1909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-5091
OH
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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