Individual
KAITLIN ANNE SLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 LLEWELLYN AVE, NORFOLK, VA 23504-1203
(757) 625-5363
Mailing address
550 SWEETGRASS LN, JONESBOROUGH, TN 37659-4471
(615) 715-8871
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010202
VA
225X00000X
Occupational Therapist
121781
TX
Other
Enumeration date
07/28/2021
Last updated
05/16/2025
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