Individual
MRS. KELLI LYNN ROSENGARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1880 N PERRY ST, STE 100, OTTAWA, OH 45875-1139
(419) 523-9003
Mailing address
2758 ROAD 7, LEIPSIC, OH 45856-9255
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008141
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2251343
—
OH
Enumeration date
10/22/2012
Last updated
05/13/2013
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