Individual
KAITLYN FARKISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
14409 GREENVIEW DR STE 102, LAUREL, MD 20708-4213
(301) 498-8100
(301) 498-0009
Mailing address
PO BOX 500, BROOKEVILLE, MD 20833-0500
(301) 498-8100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09184
MD
225X00000X
Occupational Therapist
OT-2586
NV
Other
Enumeration date
10/22/2020
Last updated
07/06/2023
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