Marella Kay Kaehn, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Palmyra, PA

NPI 1801495015 · NPPES record last updated Oct 19, 2020

Key facts

NPI
1801495015
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OP009495 (PA)
Practice address
1200 Grubb Rd
Palmyra, PA 17078-3514
Phone
(717) 838-5406
NPI assigned
Oct 19, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OP009495PAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP009495 PA Yes

Addresses

Primary practice location

1200 Grubb Rd
Palmyra, PA 17078-3514

Mailing address

900 Hartman LN
Lebanon, PA 17042-6419
Phone (757) 777-2115

Other providers in Palmyra, PA

All providers in Palmyra, PA · Occupational Therapy Assistant in Pennsylvania

Sources for this page

Verify at the official NPI Registry.