Individual
MRS. CELSEY MARIE KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3954 MOUNT VERNON BLVD, APT 2A, NORTON, OH 44203-9510
(419) 606-8971
Mailing address
3954 MOUNT VERNON BLVD, APT 2A, NORTON, OH 44203-9510
(419) 606-8971
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008487
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ST149601
DRIVERS LICENSE NUMBER
OH
Enumeration date
11/03/2013
Last updated
11/03/2013
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