Individual
MRS. KAITLYN DANIELLE MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
160 KENDAL DR, LEXINGTON, VA 24450-1786
(540) 464-2638
Mailing address
129 CABIN HALLOW RD, EAGLE ROCK, VA 24085-3583
(540) 525-3410
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000704
VA
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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