Individual
KAITLYN OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12139998-2401
UT
225100000X
Physical Therapist
130546
AK
Other
Enumeration date
04/26/2018
Last updated
03/26/2021
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