Individual
CHAS KOTTENBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9350 WESTFALL RD, FRANKFORT, OH 45628-9783
(740) 701-6910
Mailing address
PO BOX 460, FRANKFORT, OH 45628-0460
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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