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Individual

KARYN LEIGH PACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OT/L

Contact information

Practice address
4200 STATE RD, ASHTABULA, OH 44004-6017
(440) 576-9023
(440) 576-3065
Mailing address
5100 KUSZMAUL AVE NW, WARREN, OH 44483-1257
(330) 259-7564

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03584
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
O3584
OT PT ATC BOARD
OH
Enumeration date
10/26/2005
Last updated
02/27/2017
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