Individual
PHIL FEDERSPIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
7235 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
362 NILES VIENNA RD, VIENNA, OH 44473-9501
(330) 856-5846
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.01623
OH
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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