Individual
KLOE KUKTA DORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L,
Contact information
Practice address
65 MOUSE CREEK RD NW, CLEVELAND, TN 37312-4840
(423) 476-7212
Mailing address
172 JOAN DR, RINGGOLD, GA 30736-6543
(423) 394-2633
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7694
TN
Other
Enumeration date
06/27/2023
Last updated
10/21/2024
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