Individual
MARY T ONEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1212 ABBE RD S, ELYRIA, OH 44035-7269
(440) 365-5200
Mailing address
6030 GAREAU DR, NORTH OLMSTED, OH 44070-4163
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-02366
OH
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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