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Individual

DR. GINA LYNN DIDONATO KUBEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD

Contact information

Practice address
10701 EAST BLVD, 128W, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
9498 BRANDYWINE RD, SAGAMORE HILLS, OH 44067-2463
(330) 908-3400

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.007154
OH
374U00000X
Home Health Aide

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2558030
OH
Enumeration date
06/24/2006
Last updated
10/29/2008
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