Individual
MRS. KRISTY NICOLE WILLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4645 BELPAR ST NW, CANTON, OH 44718-3602
(330) 493-4210
(330) 493-4744
Mailing address
4645 BELPAR ST NW, CANTON, OH 44718-3602
(330) 493-4210
(330) 493-4744
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-005929
OH
Other
Enumeration date
01/13/2009
Last updated
01/17/2009
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