Individual
KAITLIN BOOTH WARNECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
16783 IVES STREET EXT, WATERTOWN, NY 13601-5312
(315) 788-5377
(315) 788-5373
Mailing address
17570 EVELEIGH RD, WATERTOWN, NY 13601-5540
(315) 778-7110
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
018320-1
NY
Other
Enumeration date
10/29/2013
Last updated
03/06/2017
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