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MR. THOMAS MICHAEL STITTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MOT

Contact information

Practice address
8309 MANOR GATE WAY, MENTOR, OH 44060-5971
(216) 392-7434
Mailing address
8309 MANOR GATE WAY, MENTOR, OH 44060-5971
(216) 392-7434

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6775
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6775
OT LICENSE
OH
Enumeration date
01/24/2012
Last updated
01/24/2012
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