Individual
KATHRYN GENE KITTAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225X00000X
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326686049
PRIORITY WELLNESS AND REHAB LL
IN
Enumeration date
01/13/2021
Last updated
01/13/2021
Update your record
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