Healthcare Provider Details

I. General information

NPI: 1104749704
Provider Name (Legal Business Name): KAITLYN WILLIAMS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 E MARKET ST
SALINAS CA
93905-2831
US

IV. Provider business mailing address

12523 ANTONIO PL
SALINAS CA
93908-8955
US

V. Phone/Fax

Practice location:
  • Phone: 831-753-5711
  • Fax:
Mailing address:
  • Phone: 831-915-5027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number18717
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: