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1821309808
LISA RENEE BODEN
TALLMADGE, OH
NPI
1821309808
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH 03952)
Enumeration Date
2010-06-24
Last Update Date
2010-06-24
Business Address
Mrs. LISA RENEE BODEN COTA/L
563 COLONY PARK DR
TALLMADGE, OH 44278-2859
Phone number: 330-630-9780
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Mailing Address
Mrs. LISA RENEE BODEN COTA/L
563 COLONY PARK DR
TALLMADGE, OH 44278-2859
Phone number: 330-630-9780
Copy
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