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1831515337
MARY ELIZABETH SHADE
TROY, OH
NPI
1831515337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: OH OTA02370)
Enumeration Date
2014-03-09
Last Update Date
2014-03-09
Business Address
Mrs. MARY ELIZABETH SHADE COTA/L
2000 W STANFIELD RD
TROY, OH 45373-2572
Phone number: 937-339-5100
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Mailing Address
Mrs. MARY ELIZABETH SHADE COTA/L
2000 W STANFIELD RD
TROY, OH 45373-2572
Phone number: 937-339-5100
Copy
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