Provider Demographics
NPI:1205718046
Name:RERKO, KATHRYN LYNN (OTR/L, OTD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LYNN
Last Name:RERKO
Suffix:
Gender:F
Credentials:OTR/L, OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 ASCENT DR APT 5207
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-6859
Mailing Address - Country:US
Mailing Address - Phone:240-405-8805
Mailing Address - Fax:
Practice Address - Street 1:210 FOWLER RD
Practice Address - Street 2:
Practice Address - City:WARRENDALE
Practice Address - State:PA
Practice Address - Zip Code:15086-1116
Practice Address - Country:US
Practice Address - Phone:240-405-8805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC020768225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist