Individual
LEZLIE FAHL KINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37047 RIDGE RD, WILLOUGHBY, OH 44094-4130
(440) 946-5000
Mailing address
37047 RIDGE ROAD, WILLOUGHBY, OH 44094
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 1511
OH
Other
Enumeration date
02/12/2014
Last updated
07/08/2015
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