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NPI Code Detail

MEDICARE: KAITLYN RODDY OTR/L

MEDICARE: KAITLYN RODDY OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist338112LA

General Provider Information

NPI Number : 1255014379
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN RODDY OTR/L
Provider Business Mailing Address
First Line : 1440 PETERMAN DR
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3432
Country : US
Telephone Number : 318-278-0740
Fax Number :
Provider Business Practice Location Address
First Line : 1440 PETERMAN DR
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3432
Country : US
Telephone Number : 318-278-0740
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2023
Last Update Date : 08/08/2023

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Directions to “ KAITLYN RODDY OTR/L” Practice Location

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