Individual
MRS. GENEVIEVE ANN KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
27569 DETROIT RD # R, WESTLAKE, OH 44145-2200
(440) 641-1100
Mailing address
9119 BRIAN ST, NORTH RIDGEVILLE, OH 44039-4487
(440) 537-0193
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.05860
OH
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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