Organization
KOINONIA DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELINA GILL OTR/L (OCCUPATIONAL THERAPIST)
(440) 207-0609
Entity
Organization
Contact information
Practice address
6810 CORK COLD SPRINGS RD, GENEVA, OH 44041-9346
(440) 207-0629
Mailing address
6810 CORK COLD SPRINGS RD, GENEVA, OH 44041-9346
(440) 207-0609
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
385HR2050X
Respite Care Camp
—
—
Other
Enumeration date
09/25/2025
Last updated
11/07/2025
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