MRS. Lake Minor, COTA/L

NPI #1902215825 in Massillon, Ohio

Provider Information

NPI Number
1902215825
Entity Type
Individual
Name
MRS. Lake Minor, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Personal Care Attendant
Credential
COTA/L
Enumeration Date
Aug 5, 2014
Last Updated
Aug 5, 2014

Practice Location

Address
143 ROLLING PARK DR N
State
Ohio
ZIP Code
44647-8812
Phone
(330) 605-8878

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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