Individual
KAITLIN DIERKSHEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
220 BEAR HILL RD STE 101, WALTHAM, MA 02451-1004
(781) 790-8479
Mailing address
466 COMMERCIAL ST APT 5, BOSTON, MA 02109-1056
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTL14589
MA
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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