MRS. Nicole L Kennedy, COTA/L

NPI #1609231174 in Lima, Ohio

Provider Information

NPI Number: 1609231174
Entity Type: Individual
Name: MRS. Nicole L Kennedy, COTA/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: COTA/L
Enumeration Date: Dec 28, 2015
Last Updated: Dec 28, 2015

Practice Location

Address: 5225 SANDUSKY RD
City: Lima
State: Ohio
ZIP Code: 45801-8734
Phone: (567) 712-3581

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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