Individual
JOLENE KISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6171 HUNTLEY RD, SUITE E, COLUMBUS, OH 43229-1078
(614) 840-0558
(614) 840-9310
Mailing address
6171 HUNTLEY RD, SUITE E, COLUMBUS, OH 43229-1078
(614) 840-0558
(614) 840-9310
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 01484
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2642626
—
OH
Enumeration date
02/13/2009
Last updated
02/13/2009
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