Individual
KATHRYN ELIZABETH MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
42101 GRISWOLD RD, ELYRIA, OH 44035-2117
(440) 284-8250
Mailing address
42101 GRISWOLD RD, ELYRIA, OH 44035-2117
(440) 284-8250
(440) 284-8162
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.008187
OH
225XP0200X
Pediatric Occupational Therapist
OT008187
OH
Other
Enumeration date
01/15/2013
Last updated
10/14/2019
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