Individual
MRS. MICHELLE MARIE FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
7233 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
649 BURNING OAKS DR NE, WARREN, OH 44484-2101
(330) 373-1116
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA02446
OH
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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