Individual
MRS. NICOLE L KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5225 SANDUSKY RD, LIMA, OH 45801-8734
(567) 712-3581
Mailing address
5225 SANDUSKY RD, LIMA, OH 45801-8734
(567) 712-3581
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
03806
OH
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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