Individual
MRS. BRENDA LOUISE JUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
911 ECHO ST N, MALTA, OH 43758-9379
(740) 818-5350
Mailing address
911 ECHO ST N, MALTA, OH 43758-9379
(740) 818-5350
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
03065
OH
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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