Jackie Sue Mistiatis, COTA/L

NPI #1518432335 in Fostoria, Ohio

Provider Information

NPI Number
1518432335
Entity Type
Individual
Name
Jackie Sue Mistiatis, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Oct 8, 2018
Last Updated
Oct 8, 2018

Practice Location

Address
725 COLUMBUS AVE
State
Ohio
ZIP Code
44830-3255
Phone
(419) 435-6220

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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