Individual
MR. JONATHAN O. KIPPINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
5705 BRYSON LN, LIBERTY TOWNSHIP, OH 45044-2523
(419) 350-0029
Mailing address
5705 BRYSON LN, LIBERTY TOWNSHIP, OH 45044-2523
(419) 350-0029
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA.03629
OH
225XG0600X
Gerontology Occupational Therapist
Primary
OT.008361
OH
Other
Enumeration date
12/19/2008
Last updated
06/17/2025
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