Individual
HEATHER R MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8200
Mailing address
5615 PLEASANT VIEW DR, NASHPORT, OH 43830-9058
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA. 02853
OH
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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