Individual
KAITLYN LAVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
2387 LANTERN ST, CHARLESTON, SC 29414-4850
(317) 750-9879
Mailing address
180 PATRIOTS POINT RD APT 502, MOUNT PLEASANT, SC 29464-5437
(703) 615-1312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
11/06/2024
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