Individual
MRS. KAITLYN LEANNE EADS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
137 COURT HOUSE SQUARE, LIBERTY, KY 42539
(606) 303-9130
Mailing address
99 EDEN VALLEY LN, LIBERTY, KY 42539-8197
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
260291
KY
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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