Individual
LARA KRISTIN KRUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
779 GLENDALE MILFORD RD, CINCINNATI, OH 45215-1161
(513) 771-1779
Mailing address
114 CONGRESS RUN RD, CINCINNATI, OH 45215-5002
(513) 258-8235
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.05593
OH
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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