Provider Demographics
NPI:1821405861
Name:PATERSON, CAITLIN AILEEN
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:AILEEN
Last Name:PATERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 CLYDE AVE
Mailing Address - Street 2:APT 8
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-5176
Mailing Address - Country:US
Mailing Address - Phone:814-440-5561
Mailing Address - Fax:
Practice Address - Street 1:1890 E 107TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-2235
Practice Address - Country:US
Practice Address - Phone:216-791-2196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA.05028224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant