Individual
KAITLYN IRENE PAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
2835 N GRANDVIEW BLVD STE 100, PEWAUKEE, WI 53072-5546
(262) 574-1100
(262) 574-5193
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6164
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100074872
—
WI
Enumeration date
01/25/2018
Last updated
10/05/2023
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