Individual
KONDALE ABDISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8049 GRANT PARK AVE, BLACKLICK, OH 43004-5058
(614) 556-7894
Mailing address
8049 GRANT PARK AVE, BLACKLICK, OH 43004-5058
Taxonomy
Speciality
Code
Description
License number
State
225XR0403X
Driving and Community Mobility Occupational Therapist
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
04/21/2025
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