Individual
KRYSTAL K D'AQUILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8200
Mailing address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
OH
224Z00000X
Occupational Therapy Assistant
Primary
—
WV
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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