Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Courtney R Kavanaugh, OTR

Individual provider Occupational Therapist · NPI 1780115691

Mrs. Courtney R Kavanaugh, OTR is an Occupational Therapist in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2017.

Licensed in
IN
In the registry since
2017
Specialties on file
2
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

17390 Dugdale Dr
South Bend, IN 46635-1512
Phone: (574) 400-2169
Fax: (765) 450-6664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 31006277 (IN)
Occupational Therapist Taxonomy 225X00000X · Licence 31006277A (IN)

Record details

NPI number1780115691
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedMarch 22, 2017
Last updated in NPPESJuly 21, 2022

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