Individual
MRS. KAITLYN DORIS PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
104 MONTEGA LN, COXS CREEK, KY 40013-6655
(502) 504-2257
Mailing address
104 MONTEGA LN, COXS CREEK, KY 40013-6655
(502) 504-2257
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
251523
KY
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
10/21/2024
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