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NPI Code Detail

MEDICARE: AUTUMN CHRISTOPHER

MEDICARE: AUTUMN CHRISTOPHER
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
1224Z00000XOccupational Therapy AssistantOTA007833OH

General Provider Information

NPI Number : 1780529321
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUTUMN CHRISTOPHER
Provider Business Mailing Address
First Line : 6297 AKRON AVE NW
Second Line :
City : CANAL FULTON
State : OH
Zip : 44614-8752
Country : US
Telephone Number : 330-492-8136
Fax Number :
Provider Business Practice Location Address
First Line : 6057 STRIP AVE NW
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-9207
Country : US
Telephone Number : 330-492-8136
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “ AUTUMN CHRISTOPHER ” Practice Location

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