Individual
MICHAEL S MAZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2291 W 4TH ST, SUITE D, ONTARIO, OH 44906-1261
(419) 589-2238
Mailing address
PO BOX 1086, WILLOUGHBY, OH 44096-1086
(216) 645-7242
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-5497
OH
Other
Enumeration date
07/16/2007
Last updated
11/24/2014
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