Provider Demographics
NPI:1184178113
Name:KARTHAN, KAITLYNN (OTR/L)
Entity type:Individual
Prefix:
First Name:KAITLYNN
Middle Name:
Last Name:KARTHAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KAITLYNN
Other - Middle Name:
Other - Last Name:PASEK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6638 MILL RD
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-1512
Mailing Address - Country:US
Mailing Address - Phone:440-740-4000
Mailing Address - Fax:
Practice Address - Street 1:6638 MILL RD
Practice Address - Street 2:
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141
Practice Address - Country:US
Practice Address - Phone:440-740-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-08
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT.008730225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist