Healthcare Provider Details

I. General information

NPI: 1568389294
Provider Name (Legal Business Name): CAITLIN DREESE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 CLIFFSIDE DR
STATE COLLEGE PA
16801-7662
US

IV. Provider business mailing address

19 CEDAR ST
MIFFLINTOWN PA
17059-1310
US

V. Phone/Fax

Practice location:
  • Phone: 814-235-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax: 717-348-7335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOP010100
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: