Individual
KELSEY HOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 W MAIN ST, COLDWATER, OH 45828-1613
(419) 678-5195
Mailing address
242 OAK ST, SAINT HENRY, OH 45883-9666
(419) 305-0665
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
05490
OH
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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