Individual
KRISTIE ANN WIDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12030 LAWNVIEW AVE, CINCINNATI, OH 45246-3041
(513) 931-5000
Mailing address
12030 LAWNVIEW AVE, CINCINNATI, OH 45246
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04091
OH
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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