Individual
KAITLYN ANNE CAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L, CLC
Contact information
Practice address
19769 SUMMERSET LN, PARKER, CO 80138-8077
(623) 606-6599
Mailing address
19769 SUMMERSET LN, PARKER, CO 80138-8077
(623) 606-6599
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
Primary
0004034
CO
225XP0200X
Pediatric Occupational Therapist
0004034
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000165902
—
CO
Enumeration date
09/18/2012
Last updated
07/08/2022
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