Individual
TARA MIZNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 ASHLAND ST, LOUISVILLE, OH 44641-9031
(330) 479-3440
Mailing address
209 10TH ST NE, NORTH CANTON, OH 44720-2020
(330) 494-2544
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA-01614
OH
225X00000X
Occupational Therapist
Primary
OT. 008128
OH
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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