Most Relevant Information
Provider Data
| NPI Number: | 1003680034 |
| Provider Name: | JASMINE RUBY TOMIC COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | OTA008522 |
Most Important Dates
| Enumeration Date: | 11/09/2023 |
| Last Updated: | 11/09/2023 |
Provider Practice Location
3600 HERBERT ST
MOGADORE
OH
442601125
Practice Location Phone/Fax
| Phone: | 3306289947 |
| Fax: |
Provider Mailing Location
4010 HOLIDAY DR
NORTON
OH
442035075
Provider Mailing Phone/Fax
| Phone: | 3308125413 |
| Fax: |