Kaitlyn Diedrich
Occupational Therapy Assistant
675 Washington
Afton
, Wyoming 83110
Kaitlyn Diedrich
Occupational Therapy Assistant
675 Washington
Afton
, Wyoming 83110
(307) 782-7328
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Kaitlyn Diedrich
- Po Box 570
- Mountain View, WY
- Zip : 82939-0570
- Fax : (307) 782-7328
- Phone : (307) 782-6602
Second Address
- Kaitlyn Diedrich
- 675 Washington
- Afton, WY
- Zip : 83110
- Fax : (307) 885-9287
- Phone : (307) 885-9286
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | COTA-1177 | WY |
National Provider Identifier
| NPI | 1023550662 |
|---|---|
| Provider Name | Kaitlyn Diedrich |
| First Address | Mountain View, WY 82939-0570 |
| Second Address | Afton, WY 83110 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/11/2016 |
| Last Update Date | 14/11/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.