JACKIE SUE MISTIATIS

FOSTORIA, OH
NPI1518432335
Former NameJACKIE SUE TANNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OH  OTA007265)
Enumeration Date2018-10-08
Last Update Date2018-10-08
Business Address
JACKIE SUE MISTIATIS COTA/L
725 COLUMBUS AVE
FOSTORIA, OH 44830-3255
Phone number: 419-435-6220
Mailing Address
JACKIE SUE MISTIATIS COTA/L
144 N MASTERS CT
MAUMEE, OH 43537-3068
Phone number: 419-973-3471
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