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Individual

AMANDA C GHILONI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
125 DILLMONT DR, COLUMBUS, OH 43235-4658
(614) 844-5433
Mailing address
148 HICKORY LN SW, PATASKALA, OH 43062-9221
(614) 844-5433

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
05184
OH

Other

Enumeration date
04/16/2013
Last updated
04/16/2013
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