Individual
KAITLYNNE MICHELLE JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
4935 HILLEGAS RD STE 200, FORT WAYNE, IN 46818-1943
(260) 338-1241
Mailing address
4935 HILLEGAS RD STE 200, FORT WAYNE, IN 46818-1943
(260) 338-1241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007239A
IN
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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