Individual
KATHI ENSWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.PED
Contact information
Practice address
1255 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512-4071
(330) 965-9137
Mailing address
8175 MARKET ST, YOUNGSTOWN, OH 44512-6244
(330) 629-8800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LO-0030
OH
174400000X
Specialist
LPED-0014
OH
Other
Enumeration date
03/23/2009
Last updated
03/23/2009
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