Individual
JOHANNA IVANAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ORT/L
Contact information
Practice address
510 W MAIN ST, CANFIELD, OH 44406-1454
(330) 702-0110
Mailing address
178 PATTERSON RD, WEIRTON, WV 26062-4264
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008462
OH
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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