Individual
KENDRA C DESOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5500 E BROAD ST, COLUMBUS, OH 43213-1476
(614) 575-9003
(614) 575-9101
Mailing address
5500 E BROAD ST, COLUMBUS, OH 43213-1476
(614) 575-9003
(614) 575-9101
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04681
OH
Other
Enumeration date
11/10/2013
Last updated
11/10/2013
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