Individual
MISS KALLIE MAREE COY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7689 SAGAMORE HILLS BLVD, NORTHFIELD, OH 44067-2960
(440) 424-5839
Mailing address
7420 AVON DR, MENTOR, OH 44060-5210
(937) 631-9119
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007585
OH
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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