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Individual

KIMBERLEY POWERS THREATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CPT, TPW

Contact information

Practice address
2393 PLUM ST, COLUMBUS, OH 43204-3223
(614) 260-5787
Mailing address
2393 PLUM ST, COLUMBUS, OH 43204-3223
(614) 260-5787

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
376J00000X
Homemaker
Primary
385H00000X
Respite Care

Other

Enumeration date
12/31/2020
Last updated
12/31/2020
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