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General NPI Number Information
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NPI Number | 1851403133
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Entity Type | Individual
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Provider Name | KATHERINE JANE KELLOGG OT/L
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 245 ALVORD PARK RD
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City | TORRINGTON
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State | CT
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Zip | 06790-3493
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Country | US
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Telephone | 860-482-8539
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Fax |
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Provider Business Mailing Address
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Address Line | 174 S MOUNTAIN DR
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City | NEW BRITAIN
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State | CT
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Zip | 06052-1514
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Country | US
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Telephone | 618-616-9009
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 0022556
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 002556
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License Number State | CT
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