Jenny Mae Katlack in St Louis Park - Occupational Therapy Assistant

Jenny Mae Katlack - NPI 1174794341

Jenny Mae Katlack is a Occupational Therapy Assistant in St Louis Park, Minnesota. Jenny Mae Katlack practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Jenny Mae Katlack is 1174794341. The last update date is 2008-03-17.

Jenny Mae Katlack's current location address is 7900 W 28th St, St Louis Park, Minnesota. You can contact this provider via phone number 9529208380 and fax number 9529207866. The mailing address for Jenny Mae Katlack is 7900 W 28th St, St Louis Park, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jenny Mae Katlack
Address 7900 W 28th St, St Louis Park, Minnesota
Phone Number 9529208380
Fax Number 9529207866
Sole Proprietor N
Credentials COTA/L

NPI Number Detail

NPI Number 1174794341
Provider Enumeration Date 2008-03-17
Last Updated Date 2008-03-17

Provider Mailing Address Detail

Address 7900 W 28th St
City St Louis Park
State Minnesota (MN)
Post Code 554263011
Phone Number 9529208380
Fax Number 9529207866

Provider's Primary Taxonomy Detail

Speciality Occupational Therapy Assistant
Taxonomy 224Z00000X
Licence No 200995
Definition:
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed

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FAQs about Jenny Mae Katlack

What is the unique 10-digit identifier code assigned to Jenny Mae Katlack by the Centers for Medicare & Medicaid Services?

The Jenny Mae Katlack has been issued the NPI (National Provider Identifier) 1174794341 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Jenny Mae Katlack's facilities are situated?

The facilities of Jenny Mae Katlack are physically located at the following address: 7900 W 28Th St, St Louis Park, MN, 554263011.

What is Jenny Mae Katlack's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jenny Mae Katlack's specialized field of practice is Occupational Therapy Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 224Z00000X.

When was the Jenny Mae Katlack's 1174794341 issued?

The Jenny Mae Katlack's 1174794341 was issued on 2008-03-17.

When was the information related to Jenny Mae Katlack most recently updated or refreshed?

The details pertaining to the Jenny Mae Katlack, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-17.

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