Individual
JOHANNES F KICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T
Contact information
Practice address
305 MCKINLEY AVE NW, CANTON, OH 44702-1717
(330) 327-5241
(330) 430-4230
Mailing address
305 MCKINLEY AVE NW, CANTON, OH 44702-1717
(330) 327-5241
(330) 430-4230
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 00201
OH
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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