Individual
JANICE ANN SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
924 CHARLIES WAY, MONTPELIER, OH 43543-1904
(419) 485-4821
(419) 485-4945
Mailing address
16347 COUNTY ROAD 15, PIONEER, OH 43554-9720
(419) 485-4821
(419) 485-4945
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
01184
OH
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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