Lynda S Kenton, COTA

Individual provider Active NPI Occupational Therapy Assistant · Cleves, OH

NPI 1659523397 · NPPES record last updated Aug 22, 2023

Key facts

NPI
1659523397
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
004169 (OH)
Practice address
5244 E Miami River Rd
Cleves, OH 45002-9676
Phone
(513) 349-7853
NPI assigned
Oct 14, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
32001089AINMDOccupational Therapy Assistant
004169OHMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32001089A IN
Occupational Therapy Assistant 224Z00000X 004169 OH Yes

Addresses

Primary practice location

5244 E Miami River Rd
Cleves, OH 45002-9676

Mailing address

5244 E Miami River Rd
Cleves, OH 45002-9676
Phone (513) 349-7853

Other providers in Cleves, OH

All providers in Cleves, OH · Occupational Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.