Kathryn Ketchum
Occupational Therapy Assistant
33 Cone Ave
Meriden
, Connecticut 06450-4822
Kathryn Ketchum
Occupational Therapy Assistant
33 Cone Ave
Meriden
, Connecticut 06450-4822
(860) 678-9755
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Kathryn Ketchum
- 21 Waterville Rd
- Avon, CT
- Zip : 06001-2097
- Phone : (860) 678-9755
Second Address
- Kathryn Ketchum
- 33 Cone Ave
- Meriden, CT
- Zip : 06450-4822
- Phone : (203) 238-1606
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 000534 | CT |
National Provider Identifier
| NPI | 1023424249 |
|---|---|
| Provider Name | Kathryn Ketchum |
| First Address | Avon, CT 06001-2097 |
| Second Address | Meriden, CT 06450-4822 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2014 |
| Last Update Date | 08/07/2014 |
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.