Individual
KAITLIN NISHIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7591 TYLERS PLACE BLVD, WEST CHESTER, OH 45069-6308
(513) 755-6600
Mailing address
PO BOX 411169, BOSTON, MA 02241-1169
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011929
OH
225XP0200X
Pediatric Occupational Therapist
2015025342
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406425
—
OH
Enumeration date
09/03/2015
Last updated
06/06/2022
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