Individual
KIMBERLY MARIE WISNYAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5531 US RT 6, ANDOVER, OH 44003
(440) 293-7278
Mailing address
3162 E MAIN ST, KINGSVILLE, OH 44048
(440) 224-0574
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
01208-OTA
OH
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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