Individual
GLADYS HAULER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 S CONWELL AVE, WILLARD, OH 44890-9448
(419) 964-5700
Mailing address
1510 S CONWELL AVE, WILLARD, OH 44890-9448
(419) 964-5700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.05274
OH
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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