Provider Demographics
NPI:1154586204
Name:VARIOLA, JEANNE (OTR/L)
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:
Last Name:VARIOLA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:JEANNE
Other - Middle Name:
Other - Last Name:CAPLEA-VARIOLA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3910 CRANWOOD ST NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-8361
Mailing Address - Country:US
Mailing Address - Phone:330-933-5573
Mailing Address - Fax:
Practice Address - Street 1:2100 38TH ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44709-2312
Practice Address - Country:US
Practice Address - Phone:330-492-8136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT.004256225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist