STEPHANIE R WALLACE

CANTON, OH
NPI1679755003
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OH  OTA.03561)
Enumeration Date2007-11-27
Last Update Date2007-11-27
Business Address
Mrs. STEPHANIE R WALLACE COTA/L
5626 LASATER DR NW APT 5
CANTON, OH 44718-1923
Phone number: 330-313-7702
Mailing Address
Mrs. STEPHANIE R WALLACE COTA/L
5626 LASATER DR NW APT 5
CANTON, OH 44718-1923
Phone number: 330-313-7702
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