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Individual

KIMBERLY STROUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4307 BRIDGETOWN RD, CINCINNATI, OH 45211-4427
(513) 598-8000
Mailing address
2824 COMMODORE LN, CINCINNATI, OH 45251-3204
(513) 741-1655

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-02662
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTA-O2662
AD
OH
Enumeration date
08/27/2012
Last updated
08/27/2012
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