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1114156247
ELIZABETH L FORTNER
NORTH CANTON, OH
NPI
1114156247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH OTA.04088)
Enumeration Date
2009-07-10
Last Update Date
2009-07-10
Business Address
-- ELIZABETH L FORTNER COTA/L
7235 WHIPPLE AVE NW
NORTH CANTON, OH 44720-7137
Phone number: 330-418-9313
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Mailing Address
-- ELIZABETH L FORTNER COTA/L
19422 WINSLOW RD
SHAKER HTS, OH 44122-4954
Phone number: 216-965-6723
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