MEDICARE: MARY DRESSLER COTA/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	06621	OH

General Provider Information

NPI Number	:	1508301342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY DRESSLER COTA/L

Provider Business Mailing Address
First Line	:	124 W WASHINGTON ST
Second Line	:
City	:	MEDINA
State	:	OH
Zip	:	44256-2244
Country	:	US
Telephone Number	:	330-723-6393
Fax Number	:

Provider Business Practice Location Address
First Line	:	8479 ROCKEFELLER LN
Second Line	:
City	:	SAGAMORE HILLS
State	:	OH
Zip	:	44067-1075
Country	:	US
Telephone Number	:	330-998-2055
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2017
Last Update Date	:	01/04/2017

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Directions to “ MARY DRESSLER COTA/L” Practice Location

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