Individual
MISS CINDY JO NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4014 BIG PETE RD, FRANKLIN FURNACE, OH 45629-3200
(740) 935-0683
(740) 355-6829
Mailing address
PO BOX 251, WHEELERSBURG, OH 45694-0251
(740) 935-0685
(740) 205-1619
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
003086
OH
225XP0200X
Pediatric Occupational Therapist
1283
WV
225XP0200X
Pediatric Occupational Therapist
Primary
KY-RO952
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174993901
NPI
—
Enumeration date
08/11/2006
Last updated
09/18/2023
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