Individual
KATY MARCONETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5954 LONGFORD RD, HUBER HEIGHTS, OH 45424-2998
(937) 237-6300
Mailing address
1600 W ALEX BELL RD, CENTERVILLE, OH 45459-1246
(937) 681-1239
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011840
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406425
—
OH
Enumeration date
10/04/2016
Last updated
04/06/2022
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