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Individual

ETHAN ZELLERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTD, OTR/L

Contact information

Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(180) 033-5106
Mailing address
11197 TRITTS ST NW, CANAL FULTON, OH 44614-9601
(330) 329-0356

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT012905
OH

Other

Enumeration date
07/01/2024
Last updated
07/01/2024
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