Individual
KAITLYN MAE DITMARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 ACADEMY ST S, AHOSKIE, NC 27910-3248
(252) 209-3000
Mailing address
2359 COUNTY ROAD 19, CORUNNA, IN 46730-9711
(260) 624-5560
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17748
NC
225X00000X
Occupational Therapist
Primary
31008760A
IN
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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