Individual
KEPING DUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA.L
Contact information
Practice address
1645 MAPLEWOOD DR, STREETSBORO, OH 44241-5662
(330) 626-3031
(330) 626-2699
Mailing address
1105 SPARROW RUN, STREETSBORO, OH 44241-4352
(330) 626-1887
(330) 626-1887
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA02354
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007563
—
OH
Enumeration date
06/20/2007
Last updated
07/08/2007
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