Individual
MS. KAITLYN LEE PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2801 S WEBSTER AVE, GREEN BAY, WI 54301-2894
(920) 337-1121
(920) 337-1126
Mailing address
2801 S WEBSTER AVE, GREEN BAY, WI 54301-2894
(920) 337-1121
(920) 337-1126
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8385-26
WI
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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