Provider Demographics
NPI:1952848251
Name:BELL, KATIE LYN (OTD, OTR/L, CBIS)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:LYN
Last Name:BELL
Suffix:
Gender:F
Credentials:OTD, OTR/L, CBIS
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:LYN
Other - Last Name:HOLSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTD, OTR/L, CBIS
Mailing Address - Street 1:8996 MIRAMAR RD STE 301
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-4463
Mailing Address - Country:US
Mailing Address - Phone:760-688-0601
Mailing Address - Fax:760-705-1331
Practice Address - Street 1:8996 MIRAMAR RD STE 301
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-4463
Practice Address - Country:US
Practice Address - Phone:760-688-0601
Practice Address - Fax:760-705-1331
Is Sole Proprietor?:No
Enumeration Date:2017-01-24
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT17050225X00000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist