Provider Demographics
NPI:1952470122
Name:KUHNLE, MARY JANE (OT)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:JANE
Last Name:KUHNLE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:J
Other - Last Name:HERSHEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2448 HUNTMASTER LN
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-3988
Mailing Address - Country:US
Mailing Address - Phone:614-871-6166
Mailing Address - Fax:
Practice Address - Street 1:2448 HUNTMASTER LN
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-3988
Practice Address - Country:US
Practice Address - Phone:614-871-6166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-319174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist