Individual
KAITLYN LEITHAUSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 QUEEN ANNE RD, TEANECK, NJ 07666-3521
(201) 837-9993
Mailing address
348 COOLIDGE AVE, TOWNSHIP OF WASHINGTON, NJ 07676-4704
(201) 245-4568
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00815000
NJ
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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