Individual
BETHANY CHONGRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12428 CONCORD HAMBDEN RD, CONCORD TOWNSHIP, OH 44077-9564
(440) 862-5251
Mailing address
3656 TOWNLINE RD, MADISON, OH 44057-3333
(440) 862-5251
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04771
OH
Other
Enumeration date
02/20/2014
Last updated
09/09/2021
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