Individual
MRS. KAITLYN HOPE WORTHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
374 NW 87TH TER, PLANTATION, FL 33324-6244
(954) 709-1499
Mailing address
374 NW 87TH TER, PLANTATION, FL 33324-6244
(954) 709-1499
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14206
FL
Other
Enumeration date
08/16/2020
Last updated
08/16/2020
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