Individual
MS. KIRSTIN MIR POLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2550 CLEVELAND AVE NW, CANTON, OH 44709-3306
(330) 456-0004
Mailing address
6962 MAPLE GLEN AVE NW, NORTH CANTON, OH 44720-9412
(330) 495-0527
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-04441
OH
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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