Individual
KELLY HUEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6831 N CHESTNUT ST, RAVENNA, OH 44266-3929
(330) 297-4564
Mailing address
68 CRANWOOD LN, ORCHARD PARK, NY 14127-3286
(716) 440-7747
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011310
OH
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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