Individual
KAITLYN DAWN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
635 W MAIN ST, LEBANON, VA 24266-3809
(276) 415-9880
Mailing address
635 W MAIN ST, LEBANON, VA 24266-3809
(276) 415-9880
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010169
VA
Other
Enumeration date
12/05/2016
Last updated
09/23/2025
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