Individual
CAILYN R VANHOUTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5 JACQUELYN LN, DALLAS, PA 18612-9107
(570) 255-4578
Mailing address
290 CEMETERY RD, MEHOOPANY, PA 18629-7708
(570) 407-4440
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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