Individual
ASHLEIGH SUE WATERWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7129 GILMORE RD, FAIRFIELD TOWNSHIP, OH 45011-5627
(513) 737-0157
Mailing address
213 LIGHTS POINTE CT, NEW RICHMOND, OH 45157-9427
(616) 915-6314
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007916
OH
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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