Individual
ANNETTE DEITRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7235 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
2720 WAYNE RIDGE RD, ZANESVILLE, OH 43701-9240
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.04284
OH
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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