Individual
SVETLANA VAN NESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
119 STONYRIDGE DR APT 307, SANDUSKY, OH 44870-6607
(419) 202-6807
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007564
OH
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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