Individual
KASSIE LISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
265 LEWIS RD, CIRCLEVILLE, OH 43113-1320
(740) 222-2977
Mailing address
265 LEWIS RD, CIRCLEVILLE, OH 43113-1320
(740) 222-2977
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT010977
OH
Other
Enumeration date
02/06/2021
Last updated
02/06/2021
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