Individual
KATI RILEY WAALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
9220 BASS LAKE RD STE 260, NEW HOPE, MN 55428-3019
(763) 553-0363
Mailing address
4425 GOLDENROD LN N, PLYMOUTH, MN 55442-2766
(612) 619-7758
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107887
MN
225XP0200X
Pediatric Occupational Therapist
107887
MN
Other
Enumeration date
08/07/2025
Last updated
08/27/2025
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