Individual
KAITLIN MARIE TITEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
401 UNIVERSITY DR, SCHUYLKILL HAVEN, PA 17972-2211
(570) 385-0331
Mailing address
180 HORSESHOE DR, PALMERTON, PA 18071-6218
(610) 984-3311
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
329011
PA
224Z00000X
Occupational Therapy Assistant
OP007915
PA
Other
Enumeration date
07/12/2014
Last updated
02/16/2021
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