Provider Demographics
NPI:1922410083
Name:GIUNTO, JEAN (OTA/L)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:
Last Name:GIUNTO
Suffix:
Gender:F
Credentials:OTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8285 STATE ROUTE 43
Mailing Address - Street 2:
Mailing Address - City:STREETSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:44241-5862
Mailing Address - Country:US
Mailing Address - Phone:330-626-1451
Mailing Address - Fax:330-296-8025
Practice Address - Street 1:8285 STATE ROUTE 43
Practice Address - Street 2:
Practice Address - City:STREETSBORO
Practice Address - State:OH
Practice Address - Zip Code:44241-5862
Practice Address - Country:US
Practice Address - Phone:330-626-1451
Practice Address - Fax:330-296-8025
Is Sole Proprietor?:No
Enumeration Date:2014-05-23
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01851224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant