Reardon, Kathleen Elizabeth

Reardon, Kathleen Elizabeth is an individual health care provider with primary practice located at 494 W Central Ave , Delaware OH 43015-1470. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Reardon, Kathleen Elizabeth can be contacted via phone (403) 693-6507.

Contact Information

Primary practice address
494 W Central Ave Delaware OH 43015-1470
Fax:
Website:

Profile Details

NPI number 1205393303
LBN Legal business name Reardon, Kathleen Elizabeth
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2019
Last updated Aug 13th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205393303 NPPES
Ohio MEDICAID 0402462

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