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Individual

MARY SARA GANZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
5200 ALDINE DR, BLUE ASH, OH 45242-6214
(513) 686-1750
Mailing address
6144 GRAND VISTA AVE, CINCINNATI, OH 45213-1720
(513) 641-9357

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 003012
OH

Other

Enumeration date
09/30/2014
Last updated
09/30/2014
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