Individual
VICKIE STOLPA CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
535 LEXINGTON AVE, MANSFIELD, OH 44907-1502
(419) 775-1139
Mailing address
140 N CHERRY ST, MOUNT GILEAD, OH 43338-1267
(419) 688-2737
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00180
OH
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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