Individual
KAITLIN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2854 CORAL COURT, STE 1, ON WITH LIFE OUTPATIENT NEURO REHABILITATION, CORALVILLE, IA 52241-2809
(319) 259-6224
(319) 249-6643
Mailing address
715 SW ANKENY RD, ANKENY, IA 50023-5999
(515) 289-9696
(515) 289-9649
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
084085
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42-1308032
—
IA
Enumeration date
12/10/2019
Last updated
12/10/2019
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