Individual
KIMBERLY REINE PURPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1495 BROOKFOREST DR, COLUMBUS, OH 43204-5026
(614) 572-5453
Mailing address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.004132
OH
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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