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Individual

MS. KAITLIN R JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
612 GEORGE WASHINGTON HWY, LINCOLN, RI 02865-4236
(401) 996-1782
Mailing address
12 LAKEVIEW DR, GREENVILLE, RI 02828-2708
(401) 996-1782

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
11404
MA
225X00000X
Occupational Therapist
Primary
OT02035
RI

Other

Enumeration date
11/10/2014
Last updated
06/10/2025
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