Individual
KASSONDRA MAE VERHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, AT
Contact information
Practice address
4025 INDIAN RD, TOLEDO, OH 43606-2226
(419) 531-1693
Mailing address
12012 TOWNSHIP ROAD 53, MOUNT CORY, OH 45868-9633
(567) 208-8401
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
AT.005074
OH
390200000X
Student in an Organized Health Care Education/Training Program
AT.005074
OH
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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