Organization
CATERPILLAR PLAYGROUND OCCUPATIONAL AND PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WITTENAUER OTR/L (OWNER / PRESIDENT)
(502) 299-7837
Entity
Organization
Contact information
Practice address
1372 CONCANNON BLVD, LIVERMORE, CA 94550-6004
(502) 264-9353
Mailing address
1372 CONCANNON BLVD, LIVERMORE, CA 94550-6004
(502) 264-9353
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295867810
INDIVIDUAL NPI
KY
01
—
19193
CALIFORNIA BOARD OF OT
CA
01
—
355313
KENTUCKY BOARD OF LICENSURE FOR OCCUPATIONAL THERAPY
KY
Enumeration date
01/06/2022
Last updated
07/13/2023
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