Provider Demographics
NPI:1134755655
Name:CAMERO, KAITLIN (OTR)
Entity type:Individual
Prefix:
First Name:KAITLIN
Middle Name:
Last Name:CAMERO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10301 RANCH ROAD 2222 APT 1435
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-1248
Mailing Address - Country:US
Mailing Address - Phone:989-878-2176
Mailing Address - Fax:
Practice Address - Street 1:13740 RESEARCH BLVD STE V4
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1841
Practice Address - Country:US
Practice Address - Phone:512-730-0231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-16
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist