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Lake Minor, COTA/L
NPI 1902215825 · on the registry since 2014
Practice
- Address
- 143 Rolling Park Dr N
Massillon, OH 44647 - Phone
- (330) 605-8878
Registry record
- Primary taxonomy
- Personal Care Attendant
3747P1801X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-08-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio