Farzaneh Mader

NPI 1013312909 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1013312909
Gender Female
Enumeration Date 11/04/2014
Last Updated 11/04/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
25 W PLEASANT ST
SPRINGFIELD OH, 45506-2278, US
Phone (937) 325-7671
Fax
Business Location
1761 SOUTHVIEW DR
YELLOW SPRINGS OH, 45387-1239, US
Phone
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Ohio
License Number OTA 428
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According to our database, Farzaneh Mader NPI is 1013312909, taxonomy code is 224Z00000X and license number is OTA 428, license state is located at Ohio. Farzaneh Mader physically located at 25 W Pleasant St, Springfield OH, 45506-2278. NPI Number Farzaneh Mader has the Individual type.

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1013312909 NPI number is provided on an as is basis without warranty of any kind. 1013312909 is maintained by the National Plan & Provider Enumeration System. The contents of Farzaneh Mader are for informational purposes only.