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Individual

MS. KATELYN RYAN TRENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS,OTR/L

Contact information

Practice address
31 STAFFORD AVE, STAFFORD, VA 22554-7246
(540) 658-6000
Mailing address
31 STAFFORD AVE, STAFFORD, VA 22554-7246
(540) 658-6000

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007864
VA
225X00000X
Occupational Therapist
31005203A
IN
225X00000X
Occupational Therapist
8233
NC

Other

Enumeration date
03/01/2012
Last updated
04/11/2024
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