Individual
KAITLIN HOPE KETTLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1169 SHARPESTOWNE CT, MOUNT PLEASANT, SC 29466-7564
(850) 341-0418
Mailing address
1225 BLAKEWAY ST UNIT 1702, DANIEL ISLAND, SC 29492-8426
(715) 281-8815
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5717
SC
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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