Most Relevant Information
Provider Data
| NPI Number: | 1003405036 |
| Provider Name: | SYDNEY CAITLIN KOOGLE OTD, OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT010684 |
Most Important Dates
| Enumeration Date: | 01/14/2021 |
| Last Updated: | 03/06/2023 |
Provider Practice Location
264 WILMINGTON AVE
DAYTON
OH
454201989
Practice Location Phone/Fax
| Phone: | 9372564663 |
| Fax: |
Provider Mailing Location
264 WILMINGTON AVE
DAYTON
OH
454201989
Provider Mailing Phone/Fax
| Phone: | 9372564663 |
| Fax: |