Individual
CODI S. KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9001 W 130TH ST, N ROYALTON, OH 44133-1011
(440) 237-3104
Mailing address
9001 W 130TH ST, NORTH ROYALTON, OH 44133-1011
(440) 237-3104
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007183
OH
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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