Individual
KATELYN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 DAIRY LN, FREDERICKSBURG, VA 22405-2663
(540) 371-9414
Mailing address
926 MAIN ST, NASHVILLE, TN 37206-3614
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001569
VA
Other
Enumeration date
02/01/2017
Last updated
03/20/2023
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