Healthcare Provider Details

I. General information

NPI: 1851864003
Provider Name (Legal Business Name): KATHRYN E DODDS MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2019
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 CHURCHMANS RD STE 100A
NEWARK DE
19702-1943
US

IV. Provider business mailing address

630 CHURCHMANS RD STE 100A
NEWARK DE
19702-1943
US

V. Phone/Fax

Practice location:
  • Phone: 305-544-5055
  • Fax:
Mailing address:
  • Phone: 302-824-5304
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-2196
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberU1-0012466
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: