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Contact Information

KONDALE ABDISA
8049 GRANT PARK AVE
BLACKLICK, OH43004-5058
 Phone: 614-556-7894
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Driving and Community Mobility

225XR0403X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KONDALE ABDISA · (Female)

NPI Number 1760175301
Status Active
Credentials
Entity Individual
Enumeration date 05/30/2023
Last updated 04/21/2025 - More than a year ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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