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1356051445
JOHANNA AILEEN SMITH BLACK
BEACHWOOD, OH
NPI
1356051445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2022-11-29
Last Update Date
2022-11-29
Business Address
JOHANNA AILEEN SMITH BLACK OTD, OTR/L
26900 CEDAR RD
BEACHWOOD, OH 44122-1191
Phone number: 216-839-3777
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Mailing Address
JOHANNA AILEEN SMITH BLACK OTD, OTR/L
23351 CHAGRIN BLVD APT 404
BEACHWOOD, OH 44122-5522
Phone number: 419-345-0565
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