Individual
JUSTINA RAE MAZAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5438 PHILLIPS RICE RD, CORTLAND, OH 44410-9675
(307) 362-3780
Mailing address
5438 PHILLIPS RICE RD, CORTLAND, OH 44410-9675
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
006067
OH
224Z00000X
Occupational Therapy Assistant
128OT
WY
224Z00000X
Occupational Therapy Assistant
Primary
OTA006067
OH
224Z00000X
Occupational Therapy Assistant
—
WY
Other
Enumeration date
08/10/2017
Last updated
04/17/2018
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