Whalio Doctors

NPI 1023550662

Kaitlyn Diedrich, COTA

Practitioner Occupational Therapy Assistant Afton, WY

Practice location

Address
675 Washington, Afton, WY 83110
Phone
(307) 885-9286
Fax
(307) 885-9287
Mailing address
PO Box 570, Mountain View, WY 82939-0570

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence COTA-1177 (WY)

Registry record

NPI
1023550662
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Nov 2016
Record last updated
14 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.