Individual provider · NPI-1

Carl Kappenhagen, OT

Day Training/Habilitation Specialist · Cleveland, OH

NPI number1255995080

StatusActive

Last updated in NPPESMay 18, 2019

Details

NPI: 1255995080
Entity type: Individual (NPI-1)
Name: Carl Kappenhagen
Credential: OT
Sex: Male
Sole proprietor: Yes
Enumeration date: Apr 26, 2019
Last updated: May 18, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
373H00000X	Day Training/Habilitation Specialist	–	–	Yes
372600000X	Adult Companion	–	–
101Y00000X	Counselor	–	–
101YM0800X	Counselor, Mental Health	–	–
101YP2500X	Counselor, Professional	–	–
101YS0200X	Counselor, School	–	–
133NN1002X	Nutritionist, Nutrition, Education	–	–
224Z00000X	Occupational Therapy Assistant	–	–
225800000X	Recreation Therapist	–	–
251C00000X	Day Training, Developmentally Disabled Services	–	–
253Z00000X	In Home Supportive Care	–	–
372500000X	Chore Provider	–	–
374U00000X	Home Health Aide	–	–
376J00000X	Homemaker	–	–

Practice location

4350 W 28th St
Cleveland, OH 44109-4167

Phone 216-356-2380

Mailing address

4350 W 28th St
Cleveland, OH 44109-4167

Phone 216-356-2380

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