Individual
MALONNA KINNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
119 UNION ST, NEWARK, OH 43055-3937
(740) 349-1644
Mailing address
3840 VALLEY VIEW RD, ZANESVILLE, OH 43701-0922
(740) 607-4917
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04075
OH
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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