Individual
KEARSTIN RENEE HOUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
50 BLYMYER AVE, MANSFIELD, OH 44903-2343
(419) 774-5100
Mailing address
1747 GRACE AVE, ONTARIO, OH 44906-2212
(419) 975-0448
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007676
OH
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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