Individual
KAITLYN LEE WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1371 YMCA DR, FESTUS, MO 63028-2617
(636) 465-0726
Mailing address
1371 YMCA DR, FESTUS, MO 63028-2617
(636) 465-0726
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2017033736
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470116576
—
MO
Enumeration date
07/07/2021
Last updated
05/24/2023
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