Individual
KAITLYN WUEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2261 TOWN CENTER AVE STE 109, MELBOURNE, FL 32940-6106
(321) 255-7779
Mailing address
641 HEATHER STONE DR, MERRITT ISLAND, FL 32953-4341
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22838
FL
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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