Individual
KRISTOPHER PARRISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
7359 HAVENS RD, BLACKLICK, OH 43004-9551
(419) 304-0527
Mailing address
7359 HAVENS RD, BLACKLICK, OH 43004-9551
(419) 304-0527
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT6239
OH
225XE0001X
Environmental Modification Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341821857
GROUP TAX ID#
OH
Enumeration date
01/09/2007
Last updated
05/20/2020
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