Individual
MARY KIMBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
955 FOSTER AVE SE, APT #2, NORTH CANTON, OH 44720-3659
(330) 958-1781
Mailing address
955 FOSTER AVE SE, APT #2, NORTH CANTON, OH 44720-3659
(330) 958-1781
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA03255
OH
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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