Individual
KAITLYN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
154 E MAIN ST, CLARKSBURG, WV 26301-2160
(304) 933-3073
Mailing address
PO BOX 220, BRIDGEPORT, WV 26330-0220
(304) 203-2508
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1836
WV
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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