Individual
KRISTEN BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6831 N CHESTNUT ST, RAVENNA, OH 44266-3929
(330) 871-9976
Mailing address
5109 WILLOW CREST AVE, AUSTINTOWN, OH 44515-3955
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA006656
OH
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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