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Individual

MS. LILLIAN LOUISE WADDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
381 CAMP ST, FRANKLIN FURNACE, OH 45629-8800
(740) 250-9197
Mailing address
381 CAMP ST, FRANKLIN FURNACE, OH 45629-8800
(740) 250-9197

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 02216
OH

Other

Enumeration date
08/07/2009
Last updated
11/18/2019
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