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1104370097
JENNA ELLERBROCK
ARCHBOLD, OH
NPI
1104370097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH 06547)
Enumeration Date
2016-08-08
Last Update Date
2016-08-08
Business Address
JENNA ELLERBROCK COTA/L
205 NOLAN PKWY
ARCHBOLD, OH 43502-8404
Phone number: 567-444-4800
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Mailing Address
JENNA ELLERBROCK COTA/L
205 NOLAN PKWY
ARCHBOLD, OH 43502-8404
Phone number: 567-444-4800
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