Healthcare Provider Details

I. General information

NPI: 1083469662
Provider Name (Legal Business Name): ALLISON CATTIN OTD, OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2024
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2108 E BOULEVARD
KOKOMO IN
46902-2401
US

IV. Provider business mailing address

706 E HOFFER ST
KOKOMO IN
46902-5710
US

V. Phone/Fax

Practice location:
  • Phone: 765-416-8480
  • Fax:
Mailing address:
  • Phone: 260-442-2874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number31008123A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: