Individual
KRISTINE KATE MINNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6690 LIBERATION WAY, NEW ALBANY, OH 43054-2532
(614) 289-5100
Mailing address
4720 COUNTY ROAD 25, MARENGO, OH 43334-9770
(740) 272-0629
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007804
OH
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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