Individual
DR. KAITLYN ELLERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
217 E BREMER AVE, WAVERLY, IA 50677-3435
(319) 352-1234
Mailing address
28797 215TH ST, DALLAS CENTER, IA 50063-8269
(515) 559-3193
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102039
IA
Other
Enumeration date
06/19/2022
Last updated
06/19/2022
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