Kaitlin Jo Dick
Developmental Therapist in Lexington, KY. Individual provider (NPI-1).
NPI number1245765262
StatusActive
Last updated in NPPESApr 27, 2017
Details
- NPI
- 1245765262
- Entity type
- Individual (NPI-1)
- Name
- Kaitlin Jo Dick
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2017
- Last updated
- Apr 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | 222Q00000X | KY | Yes |
Practice location
633 Leslie DrLexington, KY 40505-1832
Phone 606-425-1576
Mailing address
633 Leslie DrLexington, KY 40505-1832
Phone 606-425-1576
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