Provider Demographics
NPI:1124489075
Name:HUYSMAN, CAITLIN MORROW (OTR/L)
Entity type:Individual
Prefix:
First Name:CAITLIN
Middle Name:MORROW
Last Name:HUYSMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:CAITLIN
Other - Middle Name:FRANCES
Other - Last Name:MORROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:6500 MAIN STREET
Mailing Address - Street 2:APT 208
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014
Mailing Address - Country:US
Mailing Address - Phone:352-870-4576
Mailing Address - Fax:
Practice Address - Street 1:6500 MAIN STREET
Practice Address - Street 2:APT 208
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014
Practice Address - Country:US
Practice Address - Phone:352-870-4576
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT16639225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist