Organization
SUNSHINE INC RESIDENTIAL AND SUPPORT SERVICES
Active
Other names
SUNSHINE INC OF NORTHWEST OHIO
Organization subpart
No
Provider details
NPI number
Authorized official
LORI CIACELLI OTR/L (DIRECTOR CLINICAL SERVICES)
(419) 794-8602
Entity
Organization
Contact information
Practice address
7223 MAUMEE WESTERN RD, MAUMEE, OH 43537-9755
(419) 865-0251
(419) 724-3353
Mailing address
7223 MAUMEE WESTERN RD, MAUMEE, OH 43537-9755
(419) 865-0251
(419) 724-3353
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT006613
OH
225X00000X
Occupational Therapist
Primary
OT001547
OH
235Z00000X
Speech-Language Pathologist
SP5871
OH
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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