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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KAITLYN DIEDRICH, COTA

Active

KAITLYN DIEDRICH, COTA is a Occupational Therapy Assistant healthcare provider located in AFTON, Wyoming. NPI 1023550662 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · AFTON, WY

Registration Details

NPI Number
1023550662
Provider Type
Individual
Gender
Female
NPI Issued
Nov 14, 2016 (9.7093479661196 yrs)
Last Updated
Nov 14, 2016
License
COTA-1177 (WY)

Practice Information

Address
675 WASHINGTON
AFTON, WY, 83110
Browse WY providers · Browse ZIP 83110
Phone
3078859286
Fax
3078859287
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.