Individual
ANDREA UTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1600 CRIDER RD, MANSFIELD, OH 44903-9268
(419) 589-7611
Mailing address
117 WALKER AVE S, MANSFIELD, OH 44905-3043
(419) 566-7794
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
05162
OH
Other
Enumeration date
01/11/2014
Last updated
01/11/2014
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