Individual
MS. KIMBERLY ANN DEBOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
326 E MAIN ST, RAVENNA, OH 44266-3136
(330) 297-1436
Mailing address
10688 FREEDOM ST, GARRETTSVILLE, OH 44231-1138
(330) 527-5881
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTA.05872
OH
Other
Enumeration date
08/26/2014
Last updated
04/24/2015
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