Individual
SHAYLA JEAN BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
416 WOOSTER RD, MOUNT VERNON, OH 43050-1216
(740) 397-9626
Mailing address
1294 VANDERBILT RD, MANSFIELD, OH 44904-9596
(419) 709-7569
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA008099
OH
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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