Individual
MRS. KIMBERLY HOPE RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
117 JACOB PARROT RD, KENTON, OH 43326-9506
(419) 674-4197
Mailing address
17143 TOWNSHIP HIGHWAY 103, UPPER SANDUSKY, OH 43351-9518
(740) 816-5741
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.05098
OH
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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