Individual
MRS. CAITLIN COULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
255 E MAIN ST, LAKE ALFRED, FL 33850-2133
(863) 956-0411
Mailing address
10004 KINGSHYRE WAY, TAMPA, FL 33647-2874
(580) 695-4310
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16064
FL
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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