MEDICARE: CAITLIN VERONICA KRAUSE OTA

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
1	224Z00000X	Occupational Therapy Assistant	3817	CA

General Provider Information

NPI Number	:	1447187604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN VERONICA KRAUSE OTA

Provider Business Mailing Address
First Line	:	2408 S SHENANDOAH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-2000
Country	:	US
Telephone Number	:	505-440-3081
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 SAN PABLO ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90033-5313
Country	:	US
Telephone Number	:	800-872-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “ CAITLIN VERONICA KRAUSE OTA” Practice Location

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