Individual
JOSIE LANE CHANNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
927 SOUTH ST UNIT A, PATASKALA, OH 43062-6014
(740) 927-3941
Mailing address
2455 STATE ROUTE 93 NE, CROOKSVILLE, OH 43731-9424
(740) 586-5157
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
08/30/2022
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