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Contact Information

KAITLYN DIEDRICH, COTA
675 WASHINGTON
AFTON, WY83110
 Phone: 307-885-9286
 Fax: 307-885-9287
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for KAITLYN DIEDRICH · (Female)

NPI # 1023550662
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 11/14/2016
Last updated 11/14/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WY License # COTA-1177
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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