Individual
KACIE MALMSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L,
Contact information
Practice address
100 DEBARTOLO PL, SUITE 220, YOUNGSTOWN, OH 44512-7011
(330) 965-7828
Mailing address
16721 S RANGE RD, BELOIT, OH 44609-9791
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.04238
OH
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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