Individual provider · NPI-1
Kondale Abdisa
Occupational Therapist, Driving and Community Mobility · Blacklick, OH
NPI number1760175301
StatusActive
Last updated in NPPESApr 21, 2025
Details
- NPI
- 1760175301
- Entity type
- Individual (NPI-1)
- Name
- Kondale Abdisa
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2023
- Certification date
- Apr 21, 2025
- Last updated
- Apr 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XR0403X | Occupational Therapist, Driving and Community Mobility | – | – | Yes |
Practice location
8049 Grant Park AveBlacklick, OH 43004-5058
Phone 614-556-7894
Mailing address
8049 Grant Park AveBlacklick, OH 43004-5058
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