Individual
KIMBERLY R PRITCHETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
280 SMITH AVE N STE 500, SAINT PAUL, MN 55102-2463
(651) 968-5420
(651) 222-0956
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5042
(651) 968-5904
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104775
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104775
LICENSE
MN
Enumeration date
06/11/2015
Last updated
07/02/2015
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