Individual
LISA SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
619 LANDSRUSH ST, SANDUSKY, OH 44870-7509
(419) 870-8194
Mailing address
619 LANDSRUSH ST, SANDUSKY, OH 44870-7509
(419) 870-8194
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OH3112046
OH
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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