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Individual

KELLIE KILLIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4200 STATE RD, ASHTABULA, OH 44004-6017
(440) 576-9023
(440) 576-3065
Mailing address
4200 STATE RD, ASHTABULA, OH 44004-6017
(440) 576-9023
(440) 576-3065

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
05842
OH

Other

Enumeration date
09/03/2014
Last updated
09/03/2014
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