Individual
KALYN RAKESTRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
200 KATE ST, ENTERPRISE, AL 36330-3748
(334) 763-9977
Mailing address
200 KATE ST, ENTERPRISE, AL 36330-3748
(334) 763-9977
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4334
AL
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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