Individual
MRS. CYNTHIA ELENA FORBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3537 12TH ST NW, CANTON, OH 44708-3818
(330) 455-5500
Mailing address
2726 BLAKE AVE NW, CANTON, OH 44718-3414
(330) 936-5589
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.06214
OH
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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