Provider Demographics
NPI:1790024099
Name:HALL, AIMEE ADAIR (COTA/L)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:ADAIR
Last Name:HALL
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MRS
Other - First Name:AIMEE
Other - Middle Name:ADAIR
Other - Last Name:CHARANIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:651 ELBUR AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-3621
Mailing Address - Country:US
Mailing Address - Phone:330-807-8641
Mailing Address - Fax:
Practice Address - Street 1:330 SOUTHWEST AVE
Practice Address - Street 2:
Practice Address - City:TALLMADGE
Practice Address - State:OH
Practice Address - Zip Code:44278-2235
Practice Address - Country:US
Practice Address - Phone:330-633-0555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH04093224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant