Organization
PATHWAY TO POTENTIAL OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN PATE OTR/L (OCCUPATIONAL THERAPIST)
(502) 504-2257
Entity
Organization
Contact information
Practice address
104 MONTEGA LN, COXS CREEK, KY 40013-6655
(502) 504-2257
Mailing address
104 MONTEGA LN, COXS CREEK, KY 40013-6655
(502) 504-2257
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
09/08/2024
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