Provider Demographics
NPI:1376241992
Name:SKIPPER, KAITLYNN (OTR/L)
Entity Type:Individual
Prefix:
First Name:KAITLYNN
Middle Name:
Last Name:SKIPPER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 DUNDEE ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220-2522
Mailing Address - Country:US
Mailing Address - Phone:716-200-7412
Mailing Address - Fax:
Practice Address - Street 1:103 DUNDEE ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-2522
Practice Address - Country:US
Practice Address - Phone:716-200-7412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist