Individual
AMY LOUISE EDIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2026 STATE ROUTE 45, AUSTINBURG, OH 44010-9711
(440) 275-3019
Mailing address
80 W 44TH ST APT 3, ASHTABULA, OH 44004-6957
(440) 213-1923
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.04368
OH
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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