Individual
JESSICA KYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8200
Mailing address
205, PO BOX 233, SPRING VALLEY, OH 45370
(937) 219-5561
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA05649
OH
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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