Kelsey Marie Forrestal
Occupational Therapy Assistant
11177 Lambs Ln
Newark
, Ohio 43055-9779
Kelsey Marie Forrestal
Occupational Therapy Assistant
11177 Lambs Ln
Newark
, Ohio 43055-9779
(740) 763-0408
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Kelsey Marie Forrestal
- 11177 Lambs Ln
- Newark, OH
- Zip : 43055-9779
- Fax : (740) 763-0408
- Phone : (740) 763-0408
Second Address
- Kelsey Marie Forrestal
- 11177 Lambs Ln
- Newark, OH
- Zip : 43055-9779
- Fax : (740) 763-0408
- Phone : (740) 763-0408
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 04638 | OH |
National Provider Identifier
| NPI | 1023433026 |
|---|---|
| Provider Name | Kelsey Marie Forrestal |
| First Address | Newark, OH 43055-9779 |
| Second Address | Newark, OH 43055-9779 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/02/2014 |
| Last Update Date | 27/02/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.