NPI 1174794341

Jenny Mae Katlack, COTAL

Practitioner Occupational Therapy Assistant St Louis Park, MN

Practice location

Address: 7900 W 28th St, St Louis Park, MN 55426-3011
Phone: (952) 920-8380
Fax: (952) 920-7866

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 200995 (MN)

Other Occupational Therapy Assistant providers in Minnesota →

Registry record

NPI: 1174794341
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Mar 2008
Record last updated: 17 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.