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Individual

MRS. KELLE KATHLEEN DEBOTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
8054 DARROW RD, TWINSBURG, OH 44087-2381
(330) 963-8600
Mailing address
8054 DARROW RD, TWINSBURG, OH 44087-2381
(330) 963-8600

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.006316
OH

Other

Enumeration date
10/02/2007
Last updated
10/02/2007
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