NPI 1023550662
Kaitlyn Diedrich, COTA
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
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.