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Individual

KIMBERLY ANN STUCKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1924 WASHINGTON AVE, MARIA STEIN, OH 45860-9811
(419) 305-2600
Mailing address
1924 WASHINGTON AVE, MARIA STEIN, OH 45860-9811
(419) 305-2600

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA005158
OH

Other

Enumeration date
01/12/2023
Last updated
01/12/2023
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