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Kaitlyn Elizabeth Ann Bosch, OTR/L

Individual provider Active NPI Occupational Therapist · Grand Forks, ND

NPI 1922587161 · NPPES record last updated Aug 8, 2018

Key facts

NPI
1922587161
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
1659 (ND)
Practice address
2200 Library Cir
Grand Forks, ND 58201-6326
Phone
(701) 757-2155
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1659NDMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kids in Motion Inc Current
since Feb 16, 2019		 Accepting new patients

Locations

1810 E Main St
Mandan, ND 58554
Phone (701) 415-0000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1659 ND Yes

Addresses

Primary practice location

2200 Library Cir
Grand Forks, ND 58201-6326

Mailing address

3500 Ruemmele Rd Apt 212
Grand Forks, ND 58201-6091
Phone (701) 870-1091

Other providers in Grand Forks, ND

All providers in Grand Forks, ND · Occupational Therapist in North Dakota

Sources for this page

Verify at the official NPI Registry.