Individual
KIMBERLY SUE BRADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1440 DEER TRCE, NEWARK, OH 43055-9746
(740) 405-6544
Mailing address
7171 KECK PARK CIR NW, NORTH CANTON, OH 44720-6301
(330) 498-8200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007843
OH
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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