Most Relevant Information
Provider Data
| NPI Number: | 1003635426 |
| Provider Name: | KATIE HENDERSON OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT013092 |
Most Important Dates
| Enumeration Date: | 10/03/2024 |
| Last Updated: | 10/03/2024 |
Provider Practice Location
135 E ERIE ST STE 304
KENT
OH
442403599
Practice Location Phone/Fax
| Phone: | 3302560337 |
| Fax: |
Provider Mailing Location
135 E ERIE ST STE 304
KENT
OH
442403599
Provider Mailing Phone/Fax
| Phone: | 3302560337 |
| Fax: |