Individual
MRS. NICOLE KODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1851 E ERIE AVE, LORAIN, OH 44052-2309
(440) 288-4080
Mailing address
1851 E ERIE AVE, LORAIN, OH 44052-2309
(440) 288-4080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003662
OH
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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