MRS. Mary Elizabeth Shade, COTA/L

NPI #1831515337 in Troy, Ohio

Provider Information

NPI Number
1831515337
Entity Type
Individual
Name
MRS. Mary Elizabeth Shade, COTA/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Mar 9, 2014
Last Updated
Mar 9, 2014

Practice Location

Address
2000 W STANFIELD RD
City
Troy
State
Ohio
ZIP Code
45373-2572
Phone
(937) 339-5100

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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