Provider Demographics
NPI:1629524764
Name:MOWELL, CAITLIN (COTA/L)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:MOWELL
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:
Other - Last Name:WORKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:1162 GEORGIA LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-4020
Mailing Address - Country:US
Mailing Address - Phone:513-490-7110
Mailing Address - Fax:
Practice Address - Street 1:1162 GEORGIA LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-4020
Practice Address - Country:US
Practice Address - Phone:513-490-7110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-29
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA.05475224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant