Provider Demographics
NPI:1033890595
Name:LITTLEJOHN-ORAM, KAITLYN M (OT)
Entity Type:Individual
Prefix:
First Name:KAITLYN
Middle Name:M
Last Name:LITTLEJOHN-ORAM
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:M
Other - Last Name:HERBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4500 NEWBERRY RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-2245
Mailing Address - Country:US
Mailing Address - Phone:352-336-6013
Mailing Address - Fax:
Practice Address - Street 1:2300 SE 17TH ST STE 500
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-9139
Practice Address - Country:US
Practice Address - Phone:352-867-0444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT24196225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist