Provider Demographics
NPI:1497371611
Name:MITCHELL, CAITLIN IRENE (MSOT, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:IRENE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MSOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5334 OLYMPIC DR STE 101
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-1722
Mailing Address - Country:US
Mailing Address - Phone:253-853-5155
Mailing Address - Fax:253-853-5150
Practice Address - Street 1:5334 OLYMPIC DR STE 101
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1722
Practice Address - Country:US
Practice Address - Phone:253-853-5155
Practice Address - Fax:253-853-5150
Is Sole Proprietor?:No
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT60934906225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics