Provider Demographics
NPI:1164881421
Name:AURELIA, KAILA (OTR/L)
Entity Type:Individual
Prefix:
First Name:KAILA
Middle Name:
Last Name:AURELIA
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KAILA
Other - Middle Name:
Other - Last Name:HARRINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21 TURTLEBROOK TRL
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-2625
Mailing Address - Country:US
Mailing Address - Phone:203-788-7751
Mailing Address - Fax:
Practice Address - Street 1:100 REDDING RD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CT
Practice Address - Zip Code:06896-3236
Practice Address - Country:US
Practice Address - Phone:203-450-7846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-15
Last Update Date:2018-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004552225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist