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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BROOKLIN NICOLE MAUK, COTA/L

Active Sole Proprietor

Skilled Nursing Facility · KENTON, OH

Registration Details

NPI Number
1801135496
Provider Type
Individual
Gender
Female
NPI Issued
Feb 3, 2013 (13.211802564205 yrs)
Last Updated
Feb 3, 2013
License
OTA.04022 (OH)
Sole Proprietor
Yes

Practice Information

Address
117 JACOB PARROT RD
KENTON, OH, 433269506
Browse OH providers · Browse ZIP 43326
Phone
4196744197
Primary Specialty
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.