Individual
MS. THERESA MARIE HIBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
42 FIREBUSH LN, NORTHFIELD, OH 44067-2880
(330) 807-8914
Mailing address
42 FIREBUSH LN, NORTHFIELD, OH 44067-2880
(330) 807-8914
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
02304
OH
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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