KAITLYN MARIE ETHERIDGE

SUPPLY, NC
NPI1225845993
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
Additional Taxonomies225X00000X Occupational Therapist
Enumeration Date2024-12-16
Last Update Date2024-12-16
Business Address
KAITLYN MARIE ETHERIDGE
58 PHYSICIANS DR NW
SUPPLY, NC 28462-4215
Phone number: 910-755-5437
Mailing Address
KAITLYN MARIE ETHERIDGE
30 TALFORD DR
WENDELL, NC 27591-7586
Phone number: 919-880-0791