Provider Demographics
NPI:1194539833
Name:KANOSKY, DANIELLE LEIGH (OTR/L)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:LEIGH
Last Name:KANOSKY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 CLINTON HEIGHTS AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1250
Mailing Address - Country:US
Mailing Address - Phone:219-384-3663
Mailing Address - Fax:
Practice Address - Street 1:675 PLYMOUTH ST
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-3759
Practice Address - Country:US
Practice Address - Phone:614-383-8047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT013155225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist