Individual
CAITLIN ELIZABETH KOOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
536 TWIN LAKE RD, GREENVILLE, SC 29609-3962
(260) 615-3664
Mailing address
536 TWIN LAKE RD, GREENVILLE, SC 29609-3962
(260) 615-3664
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.5990
SC
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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