Individual
RACHELLE E. WIRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2003 W 4TH ST STE 205, ONTARIO, OH 44906-1865
(567) 307-6008
Mailing address
DEPT 781625 PO BOX 78000, DETROIT, MI 48278-1625
(567) 307-6008
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
007373
OH
224Z00000X
Occupational Therapy Assistant
Primary
OTA007373
OH
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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