Individual
MRS. CAROLE ANN LEZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
750 PROSPECT ST, UNIT #8, BEREA, OH 44017-2784
(440) 239-1941
Mailing address
750 PROSPECT ST, UNIT #8, BEREA, OH 44017-2784
(440) 239-1941
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00878
OH
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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