Individual
MRS. KARA LENAE VAN DOESBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 WYOMING STREET, DAYTON, OH 45409
(937) 208-2455
Mailing address
541 RADER DRIVE, VANDALIA, OH 45377
(937) 554-8036
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.005198
OH
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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