Individual
TIMOTHY CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA/L
Contact information
Practice address
425 W FIFTH ST, EAST LIVERPOOL, OH 43920-2405
(330) 386-2054
Mailing address
425 W FIFTH ST, EAST LIVERPOOL, OH 43920-2405
(330) 386-2054
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.02542
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OTA.02542
—
OH
Enumeration date
02/25/2014
Last updated
02/25/2014
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