Provider Demographics
NPI:1396336053
Name:TUOHY, KAITLIN ANN
Entity type:Individual
Prefix:
First Name:KAITLIN
Middle Name:ANN
Last Name:TUOHY
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 1:968 ROBBINSVILLE EDINBURG RD STE 309
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-4227
Mailing Address - Country:US
Mailing Address - Phone:609-235-5737
Mailing Address - Fax:
Practice Address - Street 1:968 ROBBINSVILLE EDINBURG RD STE 309
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08691-4227
Practice Address - Country:US
Practice Address - Phone:609-235-5737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-26
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00806400225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist